Provider Demographics
NPI:1306265277
Name:WEISS, MERISSA IDA ARMANDE (MD)
Entity type:Individual
Prefix:
First Name:MERISSA
Middle Name:IDA ARMANDE
Last Name:WEISS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:MERISSA
Other - Middle Name:IDA ARMANDE
Other - Last Name:ORTIZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:250 W PRATT ST STE 1320
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21201-2411
Mailing Address - Country:US
Mailing Address - Phone:410-802-4481
Mailing Address - Fax:
Practice Address - Street 1:250 W PRATT ST STE 1320
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21201-2411
Practice Address - Country:US
Practice Address - Phone:410-802-4481
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-04-08
Last Update Date:2023-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD91467207P00000X
NC2017-01881207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine