Provider Demographics
NPI:1629010285
Name:WEISSMAN, GABY (MD)
Entity Type:Individual
Prefix:
First Name:GABY
Middle Name:
Last Name:WEISSMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:110 IRVING ST NW
Mailing Address - Street 2:RM 1063NA
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20010-3017
Mailing Address - Country:US
Mailing Address - Phone:202-877-7206
Mailing Address - Fax:202-877-2247
Practice Address - Street 1:110 IRVING ST NW
Practice Address - Street 2:RM 1063NA
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20010-3017
Practice Address - Country:US
Practice Address - Phone:202-877-7206
Practice Address - Fax:202-877-2247
Is Sole Proprietor?:No
Enumeration Date:2006-06-11
Last Update Date:2011-03-30
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MDD0064333207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease