Provider Demographics
NPI:1851025274
Name:WEEMS, TEVIN
Entity Type:Individual
Prefix:
First Name:TEVIN
Middle Name:
Last Name:WEEMS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1405 SCHINDLER DR
Mailing Address - Street 2:
Mailing Address - City:FLORHAM PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07932-3026
Mailing Address - Country:US
Mailing Address - Phone:973-342-3303
Mailing Address - Fax:
Practice Address - Street 1:1405 SCHINDLER DR
Practice Address - Street 2:
Practice Address - City:FLORHAM PARK
Practice Address - State:NJ
Practice Address - Zip Code:07932-3026
Practice Address - Country:US
Practice Address - Phone:973-342-3303
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-07-12
Last Update Date:2022-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes373H00000XNursing Service Related ProvidersDay Training/Habilitation Specialist