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NPI Code Detail

MEDICARE: JAMES I WEINBERG DO

MEDICARE: JAMES I WEINBERG DO
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
1207Q00000XFamily Medicine PhysicianOS-002583-LPA

General Provider Information

NPI Number : 1710955463
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAMES I WEINBERG DO
Provider Business Mailing Address
First Line : 525 W CHESTER PIKE
Second Line : SUITE 201
City : HAVERTOWN
State : PA
Zip : 19083-4500
Country : US
Telephone Number : 610-449-9666
Fax Number : 610-449-9822
Provider Business Practice Location Address
First Line : 525 W CHESTER PIKE
Second Line : SUITE 201
City : HAVERTOWN
State : PA
Zip : 19083-4500
Country : US
Telephone Number : 610-449-9666
Fax Number : 610-449-9822
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/09/2006
Last Update Date : 12/24/2014

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