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Contact Information

STACIE WEIL, MD
1155 EAST MOUNTAIN BLVD.
WILKES-BARRE, PA18702
 Phone: 570-808-7916
 Fax: 570-808-6006
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Obstetrics & Gynecology

207V00000X 16 Physician/Obstetrics & Gynecology
 

Reproductive Endocrinology

207VE0102X 16 Physician/Obstetrics & Gynecology
Indicates primary specialty

NPI Profile & details for STACIE WEIL · (Female)

NPI # 1992721799
Status Active
Credentials MD
Entity Individual
Enumeration date 07/14/2006
Last updated 06/05/2015 - About 11 years ago
Sole proprietor 1 No
Identifiers
  • OH License # 35-086657
  • PA License # MD043404L
  • OH Medicaid 2586652
  • PA Medicaid 0014188520006
  • OH Other 4406587 AETNA
  • OH Other 000000509189 ANTHEM
  • OH Other 751026 BUCKEYE
  • OH Other 000000221335 UNISON
  • OH Other 364121 WELLCARE
Hospital affiliation(s) Not Available
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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