Individual
MITCHELL F WEISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
300 2ND AVE, LONG BRANCH, NJ 07740-6303
(732) 923-6890
Mailing address
1020A E BOAL AVE, BOALSBURG, PA 16827-1509
(814) 237-8627
(814) 238-0083
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
25MA07587500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0068870
—
NJ
01
—
01000598001
AMERICHOICE
NJ
01
—
199577
AMERIGROUP
NJ
01
—
223522719
HORIZON BCBS
NJ
01
—
2277560000
AMERIHEALTH
NJ
01
—
2317E1
WELL CHOICE
NJ
01
—
2K6840
HEALTHNET
NJ
01
—
314151
US FAMILY HEALTH PLAN
NJ
01
—
3371544
AETNA HMO
NJ
01
—
35846
UNIVERSITY HEALTH PLAN
NJ
01
—
60018017
HORIZON NJ HEALTH
NJ
01
—
7398492
AETNA PPO
NJ
01
—
8219832
GHI
NJ
01
—
8331983
CIGNA
NJ
01
—
P3241104
OXFORD
NJ
Enumeration date
06/06/2006
Last updated
01/05/2011
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