Individual
DR. BARRY WEINBERGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
UMDNJ-RWJ MEDICAL SCHOOL 1 RWJ PLACE, DEPT OF PEDIATRICS MEB 312-B, NEW BRUNSWICK, NJ 08901
(732) 235-5684
(732) 235-6609
Mailing address
66 WEST GILBERT ST, RED BANK, NJ 07701
(732) 212-0051
(732) 212-0713
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
25MA05898100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15775
HORIZON NJ HEALTH #
NJ
01
—
18293
AMERICAID #
NJ
01
—
221494442
TAX ID #
NJ
01
—
3416784
AETNA HMO ID #
NJ
05
—
5502608
—
NJ
01
—
5727492
AETNA PPO #
NJ
01
—
60016798
HORIZON NJ HEALTH #
NJ
01
—
F16261
HEALTHNET ID #
NJ
01
—
MI000012302
AMERICHOICE #
NJ
Enumeration date
06/12/2006
Last updated
08/04/2009
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