Organization
VIRTUAL COLONOSCOPY COMPANY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN WEINER MD (MEDICAL DIRECTOR)
(732) 297-6996
Entity
Organization
Contact information
Practice address
303 W MAIN ST, FREEHOLD, NJ 07728-4832
(732) 297-6996
Mailing address
303 W MAIN ST, FREEHOLD, NJ 07728-4832
(732) 297-6996
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
1180246
NJ
Other
Enumeration date
12/28/2006
Last updated
08/22/2020
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