Provider Demographics
NPI:1477895951
Name:WEISS, MARISSA STEINBERG (MD)
Entity Type:Individual
Prefix:DR
First Name:MARISSA
Middle Name:STEINBERG
Last Name:WEISS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:3701 MARKET ST.
Mailing Address - Street 2:7TH AND 8TH FLOOR
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19104-5502
Mailing Address - Country:US
Mailing Address - Phone:215-662-6100
Mailing Address - Fax:215-349-5512
Practice Address - Street 1:3701 MARKET ST.
Practice Address - Street 2:7TH AND 8TH FLOOR
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19104-5502
Practice Address - Country:US
Practice Address - Phone:215-662-6100
Practice Address - Fax:215-349-5512
Is Sole Proprietor?:No
Enumeration Date:2013-03-21
Last Update Date:2022-08-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI4301501956207V00000X
PAMD460199207V00000X, 207VE0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VE0102XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyReproductive Endocrinology
No207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty