Individual
MARISSA B. WEISS-BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
300 LEXINGTON RD STE 200, WOOLWICH TOWNSHIP, NJ 08085-1278
(856) 241-2111
(856) 241-2243
Mailing address
307 S EVERGREEN AVE, WOODBURY, NJ 08096-2739
(856) 686-4300
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MB71280
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8837309
—
NJ
Enumeration date
06/09/2006
Last updated
09/07/2018
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