Individual
ERNESTO WEISS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
1526 LOMBARD ST, PHILADELPHIA, PA 19146-1625
(215) 546-5960
Mailing address
1709 OLIVE ST, PHILADELPHIA, PA 19130-2887
(484) 534-0750
Taxonomy
Speciality
Code
Description
License number
State
2083X0100X
Occupational Medicine Physician
Primary
OP009543
PA
Other
Enumeration date
09/12/2023
Last updated
09/12/2023
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