Individual
ETHAN MICHAEL WEINBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3400 CIVIC CENTER BLVD, FL 7, PHILADELPHIA, PA 19104-5163
(410) 303-9503
Mailing address
3400 CIVIC CENTER BLVD, FL 7, PHILADELPHIA, PA 19104-5163
(410) 303-9503
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
MD457568
PA
Other
Enumeration date
04/10/2009
Last updated
07/18/2016
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