Individual
DR. GARY ROBERT WEINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
95 MADISON AVE, SUITE 405, MORRISTOWN, NJ 07960-6092
(973) 829-9998
Mailing address
95 MADISON AVE, STE 405, MORRISTOWN, NJ 07960-7336
(973) 829-9998
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA03540500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0675300
—
NJ
Enumeration date
06/21/2005
Last updated
07/08/2007
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