Organization
JEFFREY M WEINER DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY MARC WEINER D.D.S. (PRESIDENT)
(215) 632-1612
Entity
Organization
Contact information
Practice address
3254 RED LION RD, PHILADELPHIA, PA 19114-1109
(215) 632-1612
(215) 632-3221
Mailing address
3254 RED LION RD, PHILADELPHIA, PA 19114-1109
(215) 632-1612
(215) 632-3221
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS-019951L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
421589
UNITED CONCORDIA ID
PA
Enumeration date
06/04/2006
Last updated
08/22/2020
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