Individual
DR. MARK WEIDENBAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
161 FORT WASHINGTON AVE, 2ND FLOOR, NEW YORK, NY 10032-3729
(212) 305-4565
Mailing address
PO BOX 26691, NEW YORK, NY 10087-6691
(212) 305-7319
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
151703
NY
Other
Enumeration date
07/11/2006
Last updated
12/18/2024
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