Provider Demographics
NPI:1083003545
Name:WEKSBERG, ALFRED (MD)
Entity Type:Individual
Prefix:DR
First Name:ALFRED
Middle Name:
Last Name:WEKSBERG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1333 SHEPPARD AVENUE EAST
Mailing Address - Street 2:SUITE 324
Mailing Address - City:TORONTO
Mailing Address - State:ONTARIO
Mailing Address - Zip Code:M2J1V1
Mailing Address - Country:CA
Mailing Address - Phone:416-499-8242
Mailing Address - Fax:416-499-3945
Practice Address - Street 1:1333 SHEPPARD AVENUE EAST
Practice Address - Street 2:SUITE 324
Practice Address - City:TORONTO
Practice Address - State:ONTARIO
Practice Address - Zip Code:M2J1V1
Practice Address - Country:CA
Practice Address - Phone:416-499-8242
Practice Address - Fax:416-499-3945
Is Sole Proprietor?:Yes
Enumeration Date:2015-01-21
Last Update Date:2015-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL60999207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology