Individual provider · NPI-1
Dr. Alan John Weiss, M.D.
Plastic Surgery · Glen Burnie, MD
NPI number1194735183
StatusActive
Last updated in NPPESFeb 12, 2014
Details
- NPI
- 1194735183
- Entity type
- Individual (NPI-1)
- Name
- Dr. Alan John Weiss
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Aug 9, 2006
- Last updated
- Feb 12, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208200000X | Plastic Surgery | D30947 | MD | Yes |
Practice location
216 Crain Hwy NSuite # 101
Glen Burnie, MD 21061-3079
Phone 410-761-1743
Mailing address
Po Box 1303Severna Park, MD 21146-8303
Phone 410-761-1743
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