| Doctor Name: | SIMON LEON WEITZMAN |
| NPI Number: | 1013973775 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 41758 |
| Business Practice Address: | 105 Chestnut Suite 26 Internists Associated Needham, MA - 02192 |
| Business Phone Number: | 7814449080 |
| Business Fax Number: | |
| Mailing Address: | 105 Chestnut, Suite 26 Internists Associated NEEDHAM |
| State: | MA |
| Postal Code: | 02192 |
| Phone Number: | 7814449080 |
| Fax Number: | |
| NPI Enumeration Date: | 04/21/2006 |
| NPI Last Update Date: | 05/29/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2300X |
| License Number: | 41758 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |