Individual
ROBERT M WEISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10 HOSPITAL DR, STE 102, HOLYOKE, MA 01040-6603
(413) 534-1132
Mailing address
PO BOX 9132, BROOKLINE, MA 02446-9132
(800) 927-0002
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
57667
MA
207RG0100X
Gastroenterology Physician
Primary
57667
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
057667
TUFTS
MA
05
—
3020690
—
MA
01
—
AA141058
HPHC
MA
01
—
J06268
BCBS
MA
Enumeration date
10/23/2006
Last updated
02/11/2011
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