Provider Demographics
NPI:1851332175
Name:WEISSMAN, NEIL J (MD)
Entity Type:Individual
Prefix:
First Name:NEIL
Middle Name:J
Last Name:WEISSMAN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:110 IRVING ST NW
Mailing Address - Street 2:SUITE 2A38
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20010-2976
Mailing Address - Country:US
Mailing Address - Phone:202-877-0223
Mailing Address - Fax:202-877-0206
Practice Address - Street 1:110 IRVING ST NW
Practice Address - Street 2:SUITE 2A38
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20010-2976
Practice Address - Country:US
Practice Address - Phone:202-877-0223
Practice Address - Fax:202-877-0206
Is Sole Proprietor?:No
Enumeration Date:2006-06-09
Last Update Date:2011-04-20
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Provider Licenses
StateLicense IDTaxonomies
DCMD21224207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC029482700Medicaid
VA5850266Medicaid
MD660312200Medicaid
DC005074C34Medicare ID - Type Unspecified
DC060058721Medicare ID - Type UnspecifiedRAILROAD
MD660312200Medicaid