Provider Demographics
NPI:1619147410
Name:WEISMAN, HARLAN (MD)
Entity Type:Individual
Prefix:
First Name:HARLAN
Middle Name:
Last Name:WEISMAN
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 1:14 CANAL ST
Mailing Address - Street 2:
Mailing Address - City:NEW HOPE
Mailing Address - State:PA
Mailing Address - Zip Code:18938-1230
Mailing Address - Country:US
Mailing Address - Phone:908-432-5937
Mailing Address - Fax:267-740-2148
Practice Address - Street 1:14 CANAL ST
Practice Address - Street 2:
Practice Address - City:NEW HOPE
Practice Address - State:PA
Practice Address - Zip Code:18938-1230
Practice Address - Country:US
Practice Address - Phone:908-432-5937
Practice Address - Fax:267-740-2148
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-07
Last Update Date:2022-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA07675900207R00000X, 207RC0000X
PAMD-041616-L207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine