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1609875129

NPI Code Detail

MEDICARE: SUSAN WEINBERG MD

MEDICARE: SUSAN WEINBERG MD

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	2085R0202X	Diagnostic Radiology Physician	35042800W	OH
2	2085R0202X	Diagnostic Radiology Physician	317160	NY
3	2085R0202X	Diagnostic Radiology Physician	25MA11026800	NJ

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
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1609875129
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SUSAN WEINBERG MD

Provider Business Mailing Address
First Line	:	PO BOX 42468
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45242-0468
Country	:	US
Telephone Number	:	513-965-8041
Fax Number	:	513-965-8091

Provider Business Practice Location Address
First Line	:	10500 MONTGOMERY RD
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45242-4402
Country	:	US
Telephone Number	:	513-965-8041
Fax Number	:	513-965-8091

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

Provider Enumeration Date	:	07/18/2005
Last Update Date	:	12/09/2025

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Directions to “ SUSAN WEINBERG MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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