Individual
GREGG D WEINBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1508 WILLOW LAWN DR, STE 117, RICHMOND, VA 23230-3421
(804) 288-8102
(804) 282-3744
Mailing address
1508 WILLOW LAWN DR, STE 117, RICHMOND, VA 23230-3421
(804) 288-8102
(804) 282-3744
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
0101058262
VA
2085R0204X
Vascular & Interventional Radiology Physician
Primary
0101058262
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1457301822
—
VA
01
—
224564
ANTHEM
VA
Enumeration date
05/10/2006
Last updated
01/13/2023
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