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Organization
MICHAEL P WEINGARTEN DO PA
Active
Organization
MICHAEL P WEINGARTEN DO PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL P. WEINGARTEN D.O. (DIRECT OWNER)
(856) 829-4225
Entity
Organization
Contact information
Practice address
745 HIGHLAND AVE, PALMYRA, NJ 08065-1922
(856) 829-4225
(856) 829-7016
Mailing address
745 HIGHLAND AVE, PALMYRA, NJ 08065-1922
(856) 829-4225
(856) 829-7016
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MB025957
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0084811001
AMERIHEALTH
NJ
01
—
0084811001
KEYSTONE
PA
01
—
1099729
HORIZON NJ HEALTH
NJ
05
—
1130200
—
NJ
01
—
140759
DEVON NETWORK
—
01
—
4298684
AETNA ELECTRONIC SUB ID#
—
01
—
CB4187
RR MEDICARE
—
01
—
F05065
HEALTHNET
—
01
—
P560037
OXFORD
—
Enumeration date
02/28/2007
Last updated
04/20/2008
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