| Dr Steven R Weasen, MD | |
|
1930 S Broad St Ste 21, Philadelphia, PA 19145-2328 | |
| (215) 463-3939 | |
| (877) 437-7288 |
| Full Name | Dr Steven R Weasen |
|---|---|
| Gender | Male |
| Speciality | Dermatology |
| Location | 1930 S Broad St Ste 21, Philadelphia, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104880699 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207N00000X | Dermatology | MD033733E (Pennsylvania) | Primary |
| Entity Name | Pennsylvania Dermatology Partners Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023382918 PECOS PAC ID: 3274794268 Enrollment ID: O20120419000028 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Steven R Weasen, MD 258 Ben Franklin Hwy E, Birdsboro, PA 19508-8772 Ph: (610) 288-2908 | Dr Steven R Weasen, MD 1930 S Broad St Ste 21, Philadelphia, PA 19145-2328 Ph: (215) 463-3939 |
Dr. Nicholas Kian Mollanazar, MD, MBA Dermatology Medicare: Accepting Medicare Assignments Practice Location: 800 Spruce Street, 10th Floor, Philadelphia, PA 19107 Phone: 941-718-8997 | |
Dr. Melinda Jen, M.D Dermatology Medicare: Medicare Enrolled Practice Location: 3550 Market St Fl 2, Children's Hospital Of Philadelphia - Dermatology Div, Philadelphia, PA 19104 Phone: 215-590-9119 Fax: 215-590-4948 | |
Vanessa Ayumi London, MD, MS Dermatology Medicare: Accepting Medicare Assignments Practice Location: 9501 Roosevelt Blvd, Suite 508, Philadelphia, PA 19114 Phone: 215-464-7400 Fax: 215-464-8680 | |
Stephen David Hess, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1500 Walnut St, Suite 1240, Philadelphia, PA 19102 Phone: 267-687-4437 | |
Dr. Douglas Kligman, M.D. Dermatology Medicare: Medicare Enrolled Practice Location: 8815 Germantown Ave, Suite 30, Philadelphia, PA 19118 Phone: 215-242-4680 Fax: 215-242-3938 | |
Shobana Sood, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3400 Spruce St, 2 Rhoads Pavilion, Philadelphia, PA 19104 Phone: 215-662-2737 Fax: 215-349-8339 | |
Juliana Kim Choi, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3600 Spruce St, 2 Maloney Bldg, Philadelphia, PA 19104 Phone: 215-662-6151 |