Individual
MICHELLE ELENA BLUMBERG WEINER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
7600 RIVER ROAD, NORTH BERGEN, NJ 07047
(201) 854-5009
(856) 616-1919
Mailing address
PO BOX 5075, CHERRY HILL, NJ 08034-5075
(856) 616-8100
(856) 616-1919
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
25MP0093500
NJ
363A00000X
Physician Assistant
Primary
25MP00093500
NJ
Other
Enumeration date
07/07/2006
Last updated
02/09/2011
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