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Individual

DR. DOUGLAS MATTHEW WEINE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
365 BROAD ST, RED BANK, NJ 07701-2150
(732) 842-4294
(732) 548-7408
Mailing address
365 BROAD ST, RED BANK, NJ 07701-2150
(732) 842-4294
(732) 548-7408

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
238902
NY
207RG0100X
Gastroenterology Physician
Primary
25MA08720600
NJ

Other

Enumeration date
05/27/2008
Last updated
11/11/2024
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