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Organization

MARK WEINBERGER OD

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARK R WEINBERGER O.D. (OPTOMETRIST)
(412) 953-3636
Entity
Organization

Contact information

Practice address
2351 CENTURY DR, WEST MIFFLIN, PA 15122-2430
(412) 653-9700
(412) 653-3964
Mailing address
2351 CENTURY DR, WEST MIFFLIN, PA 15122
(412) 653-9700
(412) 653-3964

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
OEG-0503
PA
152W00000X
Optometrist
Primary
OET-9049
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
102113605
PA
Enumeration date
04/15/2010
Last updated
04/15/2010
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