Individual
DR. MARC S WEINBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 RANDALL SQ STE 304, PROVIDENCE, RI 02904-2773
(401) 228-3000
(401) 649-4222
Mailing address
82 TALBOT WAY, SEEKONK, MA 02771-2802
(508) 399-8332
(615) 234-2460
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
RI5402
RI
207RN0300X
Nephrology Physician
43058
MA
207RN0300X
Nephrology Physician
Primary
MD05402
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7000252
—
RI
Enumeration date
05/23/2005
Last updated
08/05/2019
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