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NPI Code Detail

MEDICARE: RICHARD WEINBERGER D.O.

MEDICARE: RICHARD WEINBERGER D.O.
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
1207R00000XInternal Medicine PhysicianOS004901LPA

General Provider Information

NPI Number : 1417931684
Entity Type Code : Individual
Provider Name (Legal Business Name) : RICHARD WEINBERGER D.O.
Provider Business Mailing Address
First Line : 5 MORGAN HWY STE 4
Second Line :
City : SCRANTON
State : PA
Zip : 18508-2641
Country : US
Telephone Number : 570-344-3788
Fax Number :
Provider Business Practice Location Address
First Line : 475 MORGAN HWY
Second Line :
City : SCRANTON
State : PA
Zip : 18508-2605
Country : US
Telephone Number : 570-348-1118
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/01/2005
Last Update Date : 10/03/2024

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Directions to “ RICHARD WEINBERGER D.O.” Practice Location

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