Individual
ALAN B. WEINER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
401 KINGS HWY S, CHERRY HILL, NJ 08034-2500
(856) 475-6166
Mailing address
474 GROVE ST, WORCESTER, MA 01605-1214
(508) 403-7877
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
73864
MA
207QA0401X
Addiction Medicine (Family Medicine) Physician
25MA11214200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000007921
BMC
MA
01
—
04-3194547
NORTHEAST HEALTH DIRECT
MA
01
—
073864
TUFTS
MA
01
—
1024160
CIGNA
MA
01
—
20409
HEALTH NEW ENGLAND
MA
01
—
2358647
AETNA
MA
05
—
3077225
—
MA
01
—
71794
HARVARD PILGRIM
MA
01
—
738641
CONNECTICARE
MA
01
—
J11185
BCBSMA
MA
Enumeration date
02/14/2006
Last updated
02/28/2022
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