Provider Demographics
NPI:1164410684
Name:WEISS, ALAN R (MD)
Entity Type:Individual
Prefix:DR
First Name:ALAN
Middle Name:R
Last Name:WEISS
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:2501 OREGON PIKE
Mailing Address - Street 2:SUITE 101
Mailing Address - City:LANCASTER
Mailing Address - State:PA
Mailing Address - Zip Code:17601-4890
Mailing Address - Country:US
Mailing Address - Phone:717-293-3223
Mailing Address - Fax:717-390-2455
Practice Address - Street 1:1244 FORT WASHINGTON AVE
Practice Address - Street 2:SUITE I
Practice Address - City:FORT WASHINGTON
Practice Address - State:PA
Practice Address - Zip Code:19034-1743
Practice Address - Country:US
Practice Address - Phone:215-542-1247
Practice Address - Fax:215-542-7936
Is Sole Proprietor?:No
Enumeration Date:2005-10-10
Last Update Date:2023-09-07
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Provider Licenses
StateLicense IDTaxonomies
PAMD017336E2085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA105757F66Medicare PIN
C30232Medicare UPIN
PA300012137Medicare PIN
PA105757D2HMedicare PIN