Weitzman, Hervey A

Weitzman, Hervey A is an sole proprietor health care provider with primary practice located at 175 Jefferson St , Fairfield CT 06825-1078. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hematology & Oncology. Allopathic & Osteopathic Physicians / Hematology & Oncology is his primary health care specialty. Weitzman, Hervey A can be contacted via phone (203) 365-6473.

Contact Information

Primary practice address
175 Jefferson St Fairfield CT 06825-1078
Phone: (203) 365-6473
Fax: (203) 396-1039
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 24011 Connecticut
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 24011 Connecticut

Profile Details

NPI number 1124026406
LBN Legal business name Weitzman, Hervey A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 12th, 2005
Last updated Feb 9th, 2010 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124026406 NPPES
Connecticut MEDICAID 001138940

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