Provider Demographics
NPI:1669565651
Name:WEISS, PAUL ERIC (MD)
Entity type:Individual
Prefix:DR
First Name:PAUL
Middle Name:ERIC
Last Name:WEISS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 MONTAGUE PL
Mailing Address - Street 2:
Mailing Address - City:ARDEN
Mailing Address - State:NC
Mailing Address - Zip Code:28704-8328
Mailing Address - Country:US
Mailing Address - Phone:828-687-1566
Mailing Address - Fax:
Practice Address - Street 1:7 MONTAGUE PL
Practice Address - Street 2:
Practice Address - City:ARDEN
Practice Address - State:NC
Practice Address - Zip Code:28704-8328
Practice Address - Country:US
Practice Address - Phone:828-687-1566
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY149922-1207U00000X, 2085N0904X, 2085R0202X
GA052031207U00000X, 2085N0904X, 2085R0202X
SC23210207U00000X, 2085N0904X, 2085R0202X
NC207U00000X, 2085N0904X, 2085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered207U00000XAllopathic & Osteopathic PhysiciansNuclear Medicine
Not Answered2085N0904XAllopathic & Osteopathic PhysiciansRadiologyNuclear Radiology
Not Answered2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology