NPI 1003037292

Jeffrey Marc Weiner, DDS

Practitioner General Practice Dentistry Philadelphia, PA

Practice location

Address: 3254 Red Lion Rd, Philadelphia, PA 19114-1109
Phone: (215) 632-1612
Fax: (215) 632-3221

Registered specialties

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X Licence DS-019951-L (PA)

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Registry record

NPI: 1003037292
Entity type: Individual
Sex (as registered): Male
NPI issued: 2 May 2007
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.