Provider Demographics
NPI:1376577130
Name:WEISS, JARED M (MD)
Entity Type:Individual
Prefix:
First Name:JARED
Middle Name:M
Last Name:WEISS
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Gender:M
Credentials:MD
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Mailing Address - Street 1:15 THE PROMENADE
Mailing Address - Street 2:
Mailing Address - City:NEW CITY
Mailing Address - State:NY
Mailing Address - Zip Code:10956-4122
Mailing Address - Country:US
Mailing Address - Phone:617-733-8577
Mailing Address - Fax:215-615-5122
Practice Address - Street 1:3400 SPRUCE ST
Practice Address - Street 2:16 PENN TOWER
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19104-4206
Practice Address - Country:US
Practice Address - Phone:215-615-5121
Practice Address - Fax:215-615-5122
Is Sole Proprietor?:No
Enumeration Date:2006-07-10
Last Update Date:2010-05-05
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Provider Licenses
StateLicense IDTaxonomies
PABW9849449207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology