Organization
MADISON INTERNAL MEDICINE ASSOCIATES, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY R. WEINE M.D. (PRESIDENT)
(973) 829-9998
Entity
Organization
Contact information
Practice address
95 MADISON AVE, SUITE 405, MORRISTOWN, NJ 07960-6092
(973) 829-9998
Mailing address
95 MADISON AVE, SUITE 405, MORRISTOWN, NJ 07960-6092
(973) 829-9998
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2761807
—
NJ
Enumeration date
01/02/2007
Last updated
08/22/2020
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