Edward A Weiss Md Inc | |
850 Middlefield Rd Ste 2 Palo Alto CA 94301-2918 | |
(650) 326-6560 | |
(650) 321-2324 |
Full Name | Edward A Weiss Md Inc |
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Speciality | General Practice |
Location | 850 Middlefield Rd Ste 2, Palo Alto, California |
Authorized Official Name and Position | Edward Arthur Weiss (PHYSICIAN) |
Authorized Official Contact | 6503266560 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Edward A Weiss Md Inc 850 Middlefield Rd Ste 2 Palo Alto CA 94301-2918 Ph: (650) 326-6560 | Edward A Weiss Md Inc 850 Middlefield Rd Ste 2 Palo Alto CA 94301-2918 Ph: (650) 326-6560 |
NPI Number | 1063585800 |
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Provider Enumeration Date | 11/17/2006 |
Last Update Date | 10/13/2021 |
Medicare PECOS PAC ID | 8325122005 |
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Medicare Enrollment ID | O20080220000386 |
Identifier | Type | State | Issuer |
---|---|---|---|
1063585800 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | G26171 (California) | Primary |
Provider Name | Edward A Weiss |
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Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1376634378 PECOS PAC ID: 8426132101 Enrollment ID: I20080220000379 |
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