Individual
BENJAMIN BARRY WEINBERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D. O.
Contact information
Practice address
411 CALYPSO ST, MONROE, LA 71201-7506
(318) 325-7007
(318) 699-0025
Mailing address
5959 S SHERWOOD FOREST BLVD, BATON ROUGE, LA 70816-6038
(318) 966-1970
(225) 765-9196
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
10161R
LA
207R00000X
Internal Medicine Physician
10161R
LA
207RH0003X
Hematology & Oncology Physician
Primary
10161R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1975273
—
LA
01
—
P00077178
RRMC
LA
Enumeration date
07/07/2005
Last updated
11/02/2022
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