Provider Demographics
NPI:1154309136
Name:WEIL, MARCIE K (MD)
Entity Type:Individual
Prefix:
First Name:MARCIE
Middle Name:K
Last Name:WEIL
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:8301 ARLINGTON BLVD
Mailing Address - Street 2:SUITE 209
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22031-2902
Mailing Address - Country:US
Mailing Address - Phone:703-876-9111
Mailing Address - Fax:703-698-8338
Practice Address - Street 1:8301 ARLINGTON BLVD
Practice Address - Street 2:SUITE 209
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22031-2902
Practice Address - Country:US
Practice Address - Phone:703-876-9111
Practice Address - Fax:703-698-8338
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-09
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
VA01010509692080P0207X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0207XAllopathic & Osteopathic PhysiciansPediatricsPediatric Hematology-Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
F42360Medicare UPIN