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Individual

DR. MARK S WEINER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PSYD

Contact information

Practice address
328 AMBOY AVE, METUCHEN, NJ 08840-2456
(908) 432-2547
Mailing address
134 W END AVE FL 2, SOMERVILLE, NJ 08876-1816
(908) 432-2547

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
4137
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1356532998
NPI
NJ
01
1881922458
NPI
NJ
Enumeration date
02/07/2019
Last updated
06/21/2019
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