MEDICARE: LEONARD M WEINBERGER MD INC

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	2084N0400X	Neurology Physician

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	2116872	OTHER		AETNA

General Provider Information

NPI Number	:	1891788295
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LEONARD M WEINBERGER MD INC

Provider Business Mailing Address
First Line	:	7535 FREDLE DR
Second Line	:
City	:	CONCORD TWP
State	:	OH
Zip	:	44077-9406
Country	:	US
Telephone Number	:	440-357-3100
Fax Number	:	440-357-8254

Provider Business Practice Location Address
First Line	:	7535 FREDLE DR
Second Line	:
City	:	CONCORD TWP
State	:	OH
Zip	:	44077-9406
Country	:	US
Telephone Number	:	440-357-3100
Fax Number	:	440-357-8254

Authorized Official
Title or Position	:	PRESIDENT
Name	:	LEONARD M WEINBERGER
Credential	:	MD
Telephone Number	:	440-357-3100

Provider Enumeration Date	:	08/31/2005
Last Update Date	:	01/08/2008

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