Provider Demographics
NPI:1922199918
Name:WEISSBERG, EDWARD NEIL (MD)
Entity Type:Individual
Prefix:DR
First Name:EDWARD
Middle Name:NEIL
Last Name:WEISSBERG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:6518 GARDENWICK RD
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21209-2538
Mailing Address - Country:US
Mailing Address - Phone:443-463-4499
Mailing Address - Fax:410-602-8007
Practice Address - Street 1:6518 GARDENWICK RD
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21209-2538
Practice Address - Country:US
Practice Address - Phone:443-463-4499
Practice Address - Fax:410-602-8007
Is Sole Proprietor?:No
Enumeration Date:2006-09-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD459392084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry