Organization · NPI-2

Donald J Weaver MD Facp PA

Internal Medicine · Rockport, ME

NPI number1316048606
StatusActive
Last updated in NPPESMar 4, 2010

Details

NPI
1316048606
Entity type
Organization (NPI-2)
Legal business name
Donald J Weaver MD Facp PA
Organization subpart
No
Enumeration date
Sep 26, 2006
Last updated
Mar 4, 2010

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal Medicine007465MEYes

Practice location

4 Glen Cove Dr
Ste 104
Rockport, ME 04856-4235

Phone 207-594-7705 · Fax 207-594-0543

Mailing address

4 Glen Cove Dr
Ste 104
Rockport, ME 04856-4235

Phone 207-594-7705 · Fax 207-594-0543

Authorized official

Donald J Weaver
President
2075947705

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