Provider Demographics
NPI:1003062126
Name:EDINBURG ANIMAL HOSPITAL
Entity Type:Organization
Organization Name:EDINBURG ANIMAL HOSPITAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/VETERINARIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:DOUGLAS
Authorized Official - Middle Name:
Authorized Official - Last Name:WEEKES
Authorized Official - Suffix:
Authorized Official - Credentials:DVM
Authorized Official - Phone:609-443-1212
Mailing Address - Street 1:1676 OLD TRENTON RD
Mailing Address - Street 2:
Mailing Address - City:WEST WINDSOR
Mailing Address - State:NJ
Mailing Address - Zip Code:08550-3205
Mailing Address - Country:US
Mailing Address - Phone:609-443-1212
Mailing Address - Fax:609-443-0305
Practice Address - Street 1:1676 OLD TRENTON RD
Practice Address - Street 2:
Practice Address - City:WEST WINDSOR
Practice Address - State:NJ
Practice Address - Zip Code:08550-3205
Practice Address - Country:US
Practice Address - Phone:609-443-1212
Practice Address - Fax:609-443-0305
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-08
Last Update Date:2008-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ29VI00193000284300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes284300000XHospitalsSpecial Hospital