DR. MARK M WEISBERG D.O.
NPI 1417090671
Family Medicine in Philadelphia, PA

Q: What is Mark Weisberg's NPI number?

The NPI number for Mark Weisberg is 1417090671. It was assigned to this individual provider in the NPPES registry on February 15, 2007.

Q: What is Mark Weisberg's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Mark Weisberg was last updated on October 31, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since February 15, 2007

2012 FITZWATER ST, PHILADELPHIA, PA 19146(702) 338-2307 Get Directions Write a Review

NPPES record last updated: October 31, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Mark M Weisberg D.o. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MARK M WEISBERG D.O. (NPI 1417090671) is an individual family medicine provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (OS-003767L) and active in the NPI registry since February 2007.

NPPES Registry Identity

NPI1417090671

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. MARK M WEISBERGCredential: D.O.

Location Address2012 FITZWATER STPhiladelphia, PA 19146-1333

Mailing Address2012 Fitzwater StPhiladelphia, PA 19146-1333 · (702) 338-2307 · Fax (267) 319-1538

Phone(702) 338-2307

Sole ProprietorYes

Enumeration DateFebruary 15, 2007

Last NPPES UpdateOctober 31, 2012

✔ NPI 1417090671 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in PA · OS-003767L

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

2012 FITZWATER ST, Philadelphia, PA 19146

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Other Identifiers 6

Medicare UPINBL404YNV

Medicare UPINBL404ZNV

Medicare ID-Type Unspecified01WCHFK02

Medicare PINBK083ANV

Medicare UPINC28612

Medicare PINBK083BNV

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mark Weisberg's NPI number?

The NPI number for Mark Weisberg is 1417090671. It was assigned to this individual provider in the NPPES registry on February 15, 2007.

Where is Mark Weisberg located?

Mark Weisberg practices at 2012 Fitzwater St, Philadelphia, PA 19146. The listed phone number is (702) 338-2307.

What is Mark Weisberg's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Mark Weisberg was last updated on October 31, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.