Individual
DR. JASON DAVID WEINER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
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
DS037242
PA
Other
Enumeration date
04/15/2008
Last updated
04/15/2008
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