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Individual

RICHARD BARRY WEINBERG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-2255
Mailing address
PO BOX 344, WINSTON SALEM, NC 27102-0344
(336) 716-2255

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
39137
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
100016353
RR MEDICARE
05
2005660000
WV
01
44906
MEDCOST
01
5350442
AETNA
01
5985
PARTNERS
05
6069428
VA
01
86329
BCBS
05
8986329
NC
05
Q39137
SC
Enumeration date
12/08/2005
Last updated
06/18/2015
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