Individual
MRS. SHOSHANA E WEINER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
40 BEY LEA RD, SUITE B, BUILDING B 203, TOMS RIVER, NJ 08753-2900
(732) 341-5180
(732) 349-1507
Mailing address
17 KINGSFIELD DR, LAKEWOOD, NJ 08701-3086
(732) 886-5423
(732) 886-5423
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
25MP00211800
NJ
Other
Enumeration date
01/29/2009
Last updated
01/29/2009
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