Provider Demographics
NPI:1376048926
Name:WEISS, AMY RACHEL (MD)
Entity type:Individual
Prefix:DR
First Name:AMY
Middle Name:RACHEL
Last Name:WEISS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:225 NJ-35
Mailing Address - Street 2:SUITE 208
Mailing Address - City:RED BANK
Mailing Address - State:NJ
Mailing Address - Zip Code:07701-1334
Mailing Address - Country:US
Mailing Address - Phone:732-747-5500
Mailing Address - Fax:
Practice Address - Street 1:225 NJ-35
Practice Address - Street 2:SUITE 208
Practice Address - City:RED BANK
Practice Address - State:NJ
Practice Address - Zip Code:07701-1334
Practice Address - Country:US
Practice Address - Phone:732-747-5500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-03-27
Last Update Date:2025-04-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJMA25MA11137300207N00000X, 207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology