Individual
DR. JOEL MARVIN WEISSMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7604 CENTRAL AVE, SUITE 104, PHILADELPHIA, PA 19111-2433
(215) 745-4130
(215) 745-9666
Mailing address
7604 CENTRAL AVE, SUITE 104, PHILADELPHIA, PA 19111-2433
(215) 745-4130
(215) 745-9666
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
014154E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0674929
—
PA
Enumeration date
08/07/2006
Last updated
03/11/2010
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