Healthcare Provider Details

I. General information

NPI: 1518981224
Provider Name (Legal Business Name): RICHARD L WEINBERG M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/26/2006
Last Update Date: 10/19/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3459 5TH AVE MUH 9 SOUTH
PITTSBURGH PA
15213-3236
US

IV. Provider business mailing address

200 LOTHROP ST FORBES TOWER, ROOM 9055
PITTSBURGH PA
15213-2536
US

V. Phone/Fax

Practice location:
  • Phone: 412-692-4888
  • Fax:
Mailing address:
  • Phone: 412-647-3087
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberMD029265E
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code207RH0002X
TaxonomyHospice and Palliative Medicine (Internal Medicine) Physician
License NumberMD029265E
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: