Individual
ROGER T WEISS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
112 N 7TH ST, CHAMBERSBURG, PA 17201-1720
(717) 267-7164
(717) 267-7414
Mailing address
601 MEMORY LN, YORK, PA 17402-2231
(717) 851-1405
(717) 851-6969
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
OS007692L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0012836710004
—
PA
01
—
120420412
DEPT OF LABOR
PA
01
—
25-1716306
SOUTH CENTRAL PREFERRED
PA
01
—
3832690
AETNA HMO
PA
01
—
4272579
AETNA NON-HMO
PA
01
—
OS007692L
LICENSE
PA
Enumeration date
08/09/2005
Last updated
03/18/2025
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