Provider Demographics
NPI:1154632453
Name:LAI, WEIL RON (MD)
Entity Type:Individual
Prefix:DR
First Name:WEIL
Middle Name:RON
Last Name:LAI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:1 WESCOTT DR STE 101
Mailing Address - Street 2:
Mailing Address - City:FLEMINGTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08822-4655
Mailing Address - Country:US
Mailing Address - Phone:908-237-4105
Mailing Address - Fax:908-237-4132
Practice Address - Street 1:1 WESCOTT DR STE 101
Practice Address - Street 2:
Practice Address - City:FLEMINGTON
Practice Address - State:NJ
Practice Address - Zip Code:08822
Practice Address - Country:US
Practice Address - Phone:908-237-4105
Practice Address - Fax:908-237-4132
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-01
Last Update Date:2023-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA10065800208800000X
LAMD.207601208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208800000XAllopathic & Osteopathic PhysiciansUrologyGroup - Single Specialty