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Individual

JEFFREY A. WEISS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
200 ABRAHAM FLEXNER WAY, LOUISVILLE, KY 40202-1818
(502) 587-4231
Mailing address
222 S 1ST ST, SUITE 501, LOUISVILLE, KY 40202-5404
(502) 583-2731
(502) 583-2733

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
18284
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000062489
ANTHEM BLUE FACET
KY
05
0198978000
WV
05
02753840
NY
05
060788901
TX
01
100321650
MANAGED HEALTH SERVICES
KY
05
100321650
IN
05
1058377
KY
05
2126578
OH
05
64182843
KY
05
9097732-00
FL
05
XPY200543
CA
Enumeration date
07/19/2006
Last updated
06/18/2008
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