Individual
JERRY C WEINBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1215 AVENUE M, BROOKLYN, NY 11230-5245
(718) 965-2020
Mailing address
236A MOORE STREET, PENNSPORT MALL, PHILADELPHIA, PA 19148
(215) 755-9470
(215) 755-9860
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
219927
NY
207W00000X
Ophthalmology Physician
MD028446E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0009468220003
—
PA
05
—
02196234
—
NY
Enumeration date
05/20/2006
Last updated
07/08/2007
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