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NPI Code Detail

MEDICARE: DR. GEORGE IAN WEINBERGER M.D.

MEDICARE: DR. GEORGE IAN WEINBERGER 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
1207N00000XDermatology PhysicianMA035828NJ

General Provider Information

NPI Number : 1447238639
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. GEORGE IAN WEINBERGER M.D.
Provider Business Mailing Address
First Line : 190 GREENBROOK RD
Second Line :
City : NORTH PLAINFIELD
State : NJ
Zip : 07060-3903
Country : US
Telephone Number : 908-561-8070
Fax Number : 908-561-8071
Provider Business Practice Location Address
First Line : 190 GREENBROOK RD
Second Line :
City : NORTH PLAINFIELD
State : NJ
Zip : 07060-3903
Country : US
Telephone Number : 908-561-8070
Fax Number : 908-561-8071
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/06/2006
Last Update Date : 04/14/2008

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