Individual
BRUCE WEINER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
826 MAIN ST, MOB II STE 203, PHOENIXVILLE, PA 19460-4459
(610) 983-1980
(610) 422-5435
Mailing address
826 MAIN ST, MOB II STE 203, PHOENIXVILLE, PA 19460-4459
(610) 983-1980
(610) 422-5435
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD037122E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
478181
BCBS
NJ
Enumeration date
06/09/2005
Last updated
07/26/2012
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