Provider Demographics
NPI:1235262569
Name:WEISS, RAYMOND BUTLER (MD)
Entity Type:Individual
Prefix:DR
First Name:RAYMOND
Middle Name:BUTLER
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 1:20 EXPEDITION TRAIL
Mailing Address - Street 2:SUITE 101
Mailing Address - City:GETTYSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17325
Mailing Address - Country:US
Mailing Address - Phone:717-334-4033
Mailing Address - Fax:717-334-5599
Practice Address - Street 1:20 EXPEDITION TRAIL
Practice Address - Street 2:SUITE 101
Practice Address - City:GETTYSBURG
Practice Address - State:PA
Practice Address - Zip Code:17325
Practice Address - Country:US
Practice Address - Phone:717-334-4033
Practice Address - Fax:717-334-5599
Is Sole Proprietor?:No
Enumeration Date:2007-03-14
Last Update Date:2013-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD009829E207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAMD009829EOtherSTATE LICENSE
MDD0034004OtherSTATE LICENSE