Individual
SAMUEL WEINER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
141 ROUTE 70 E STE E, MARLTON, NJ 08053-1855
(856) 985-7373
(856) 985-9611
Mailing address
301 LIPPINCOTT DR STE 410, MARLTON, NJ 08053-4197
(856) 355-0340
(856) 355-0330
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MA07739900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0043974
—
NJ
Enumeration date
01/23/2006
Last updated
03/17/2022
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