Individual ProviderLaurence WeissRadiologyAllopathic & Osteopathic PhysiciansPractice Address97 Barnes Rd, Wallingford, CT 06492-1885(203) 949-2700PECOS EnrollmentBased on the most recent information from CMS, provider Laurence Weiss is legally eligible to order and refer claims for DME and PMD services only.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1821072489Provider TypeIndividualFull NameWeiss, LaurenceCredentialM.D.GenderMaleEnumeration Date12/6/2005Last Updated7/8/2007Contact InformationPractice LocationPractice Address97 Barnes Rd, Wallingford, CT 06492-1885Phone(203) 949-2700Fax(203) 949-2712Mailing LocationMailing Address101 N Plains Industrial Rd, Wallingford, CT 06492-2360Phone(203) 949-2700Fax(203) 949-2712Provider TaxonomiesCodeDescriptionLicenseCode2085R0202XPrimaryDescriptionRadiologyAllopathic & Osteopathic PhysiciansLicense024412Connecticut