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Contact Information

ILENE K WEIZER, MD
700 SCHUYLKILL MANOR RD STE 206
POTTSVILLE, PA17901
 Phone: 570-628-4200
 Fax: 570-628-4824
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Obstetrics & Gynecology

207V00000X 16 Physician/Obstetrics & Gynecology
Indicates primary specialty

NPI Profile & details for ILENE K WEIZER · (Female)

NPI Number 1093713166
Status Active
Credentials MD
Entity Individual
Enumeration date 07/12/2005
Last updated 07/08/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • PA License # MD047488L
  • PA Medicaid 0014618530004
Hospital affiliation(s)
  • GEISINGER MEDICAL CENTER - (Acute Care)
    100 NORTH ACADEMY AVENUE
    DANVILLE, PA 17822
  • LEHIGH VALLEY HOSPITAL - (Acute Care)
    1200 SOUTH CEDAR CREST BOULVARD
    ALLENTOWN, PA 18105
  • SCHUYLKILL MEDICAL CENTER - SOUTH JACKSON STREET - (Acute Care)
    420 SOUTH JACKSON STREET
    POTTSVILLE, PA 17901
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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