Provider Demographics
NPI:1215952130
Name:ROBERT & MARGARET WEISS MD P.A.
Entity type:Organization
Organization Name:ROBERT & MARGARET WEISS MD P.A.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JO ANN
Authorized Official - Middle Name:B
Authorized Official - Last Name:SHOCK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-666-6240
Mailing Address - Street 1:54 SCOTT ADAM ROAD
Mailing Address - Street 2:SUITE 301
Mailing Address - City:HUNT VALLEY
Mailing Address - State:MD
Mailing Address - Zip Code:21030-3360
Mailing Address - Country:US
Mailing Address - Phone:410-666-3960
Mailing Address - Fax:410-666-3981
Practice Address - Street 1:54 SCOTT ADAM ROAD
Practice Address - Street 2:SUITE 301
Practice Address - City:HUNT VALLEY
Practice Address - State:MD
Practice Address - Zip Code:21030-3360
Practice Address - Country:US
Practice Address - Phone:410-666-3960
Practice Address - Fax:410-666-3981
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-12
Last Update Date:2014-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDKK42Medicare UPIN
MDMDKK42Medicare PIN
MDKK42Medicare PIN