Individual
ALAN WEISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
667 EASTLAND AVE SE, WARREN, OH 44484-4503
(330) 841-4100
(330) 481-4455
Mailing address
4135 BOARDMAN CANFIELD RD, SUITE 101, CANFIELD, OH 44406-9803
(330) 286-5330
(330) 286-5396
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
35-054278
OH
207LP2900X
Pain Medicine (Anesthesiology) Physician
35-054278
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000026288
ANTHEM BCBS
OH
01
—
050056510
MEDICARE RAILROAD
OH
05
—
0658319
—
OH
01
—
11390908
CAQH
—
Enumeration date
06/22/2006
Last updated
10/29/2018
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