Individual
JONATHAN DAVID WEINBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
328 BROADWAY, CAMBRIDGE, MA 02139-1840
(617) 497-6715
(781) 863-0316
Mailing address
328 BROADWAY, CAMBRIDGE, MA 02139-1840
(617) 497-6715
(781) 863-0316
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
45270
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3026311
—
MA
01
—
Q04325
BLUE SHIELD
MA
Enumeration date
10/25/2006
Last updated
11/15/2010
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