Individual
KENNETH JOEL WEISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9890 MAIN STREET REAR, DAMASCUS, MD 20872-2087
(301) 253-6977
(301) 253-9091
Mailing address
9890 MAIN STREET REAR, DAMASCUS, MD 20872-2087
(301) 253-6977
(301) 253-9091
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
D0014097
MD
Other
Enumeration date
07/25/2006
Last updated
07/08/2007
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