Individual
JEFFREY B WEILBURG
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
177 PARK ST, NEWTON, MA 02458-2042
(617) 726-5600
(617) 726-7541
Mailing address
177 PARK ST, NEWTON, MA 02458-2042
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
76219
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3045595
—
MA
01
—
C04886
BLUE CROSS MA
MA
Enumeration date
09/20/2005
Last updated
07/08/2007
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