Provider Demographics
NPI:1215102009
Name:DR. JEFFREY S. WEISMAN, PC
Entity type:Organization
Organization Name:DR. JEFFREY S. WEISMAN, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:
Authorized Official - Last Name:WEISMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-454-2200
Mailing Address - Street 1:6 NESHAMINY INTERPLEX
Mailing Address - Street 2:SUITE 215
Mailing Address - City:TREVOSE
Mailing Address - State:PA
Mailing Address - Zip Code:19053-6964
Mailing Address - Country:US
Mailing Address - Phone:215-464-2200
Mailing Address - Fax:215-639-3605
Practice Address - Street 1:6 NESHAMINY INTERPLEX
Practice Address - Street 2:SUITE 215
Practice Address - City:TREVOSE
Practice Address - State:PA
Practice Address - Zip Code:19053-6964
Practice Address - Country:US
Practice Address - Phone:215-464-2200
Practice Address - Fax:215-639-3605
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-23
Last Update Date:2010-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty