Individual
DR. JOSEPH M WEISSTUCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
530 1ST AVE, SUITE 4B, NEW YORK, NY 10016-6402
(212) 263-0705
(212) 263-0704
Mailing address
530 1ST AVE, SUITE 4B, NEW YORK, NY 10016-6402
(212) 263-0705
(212) 263-0704
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
168040
NY
207RN0300X
Nephrology Physician
Primary
168040-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01756078
—
NY
01
—
0M0247
HEALTHNET
—
01
—
13-3980318
1199
—
01
—
133980318
MULTIPLAN
—
01
—
168040
HIP
—
01
—
2500758
GHI
—
01
—
27238
AETNA
—
01
—
52177
MAGNACARE
—
01
—
901677
UNITED HEALTHCARE
—
Enumeration date
07/28/2006
Last updated
08/14/2023
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