| Organization Name: | EDWARD WEITZMAN DO PA |
| NPI Number: | 1447516521 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | EDWARD WEITZMAN (PRESIDENT) |
| Mailing Address: | 416 Gap Newport Pike Avondale |
| State: | PA US |
| Postal Code: | 193119542 |
| Phone Number: | 6102683777 |
| Fax Number: | 6102683399 |
| NPI Enumeration Date: | 04/03/2012 |
| NPI Last Update Date: | 04/03/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | OS-003683-L |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |