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NPI Code Detail

MEDICARE: JEFFREY B WEILBURG M.D.

MEDICARE:   JEFFREY B WEILBURG  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084P0800XPsychiatry Physician76219MA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1C04886OTHERMABLUE CROSS MA
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1336135953
Entity Type Code : Individual
Provider Name (Legal Business Name) : JEFFREY B WEILBURG M.D.
Provider Business Mailing Address
First Line : 177 PARK ST
Second Line :
City : NEWTON
State : MA
Zip : 02458-2042
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 177 PARK ST
Second Line :
City : NEWTON
State : MA
Zip : 02458-2042
Country : US
Telephone Number : 617-726-5600
Fax Number : 617-726-7541
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/20/2005
Last Update Date : 07/08/2007

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Directions to “ JEFFREY B WEILBURG M.D.” Practice Location

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