Individual
MARC A WEINER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 ELLIOT WAY, EMERGENCY DEPARTMENT, MANCHESTER, NH 03103-3502
(603) 663-2830
(603) 663-1849
Mailing address
1 ELLIOT WAY, EMERGENCY DEPARTMENT, MANCHESTER, NH 03103-3502
(603) 663-2830
(603) 663-1849
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
8140
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0107083Y0NH03
ANTHEM BCBS
NH
05
—
30002012
—
NH
01
—
B99082
HPHC
NH
Enumeration date
06/16/2006
Last updated
07/08/2007
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