Provider Demographics
NPI:1093736522
Name:WEISS, NED M (MD)
Entity Type:Individual
Prefix:
First Name:NED
Middle Name:M
Last Name:WEISS
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 1:3 VILLAGE RD
Mailing Address - Street 2:STE 10
Mailing Address - City:HORSHAM
Mailing Address - State:PA
Mailing Address - Zip Code:19044-3812
Mailing Address - Country:US
Mailing Address - Phone:215-657-5500
Mailing Address - Fax:215-657-4782
Practice Address - Street 1:3 VILLAGE RD
Practice Address - Street 2:STE 10
Practice Address - City:HORSHAM
Practice Address - State:PA
Practice Address - Zip Code:19044-3812
Practice Address - Country:US
Practice Address - Phone:215-657-5500
Practice Address - Fax:215-657-4782
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-21
Last Update Date:2012-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD02000E207RE0101X
NJMA47641207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAC29246Medicare UPIN
NJ541422Medicare ID - Type UnspecifiedNJ MEDICARE NUMBER
PA081063Medicare ID - Type UnspecifiedPA MEDICARE