MEDICARE: DR. AUREN STEVE WEINBERG 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
1	208D00000X	General Practice Physician	ME146146	FL
2	208000000X	Pediatrics Physician	MD068622L	PA

Other Identifiers

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

General Provider Information

NPI Number	:	1417953720
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. AUREN STEVE WEINBERG M.D.

Provider Business Mailing Address
First Line	:	112 S 19TH ST APT 1407
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19103-4679
Country	:	US
Telephone Number	:	267-907-3097
Fax Number	:	215-493-1470

Provider Business Practice Location Address
First Line	:	112 S 19TH ST APT 1407
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19103-4679
Country	:	US
Telephone Number	:	267-907-3097
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/22/2005
Last Update Date	:	03/25/2022

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