Individual
MR. ROGER ALLEN WEISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1 BAMBOO LANE, FAR HILLS, NJ 07931
(917) 328-9274
(908) 470-0712
Mailing address
1 BAMBOO LANE, FAR HILLS, NJ 07931
(917) 328-9274
(908) 470-0712
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
X0042581
NY
111NI0013X
Independent Medical Examiner Chiropractor
Primary
NYSIMEC042582B
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C042582B
NYS IME NUMBER
NY
01
—
X0042581
LIC NUMBER NY
NY
Enumeration date
02/22/2008
Last updated
02/22/2008
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