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Individual

DR. LEWIS R WEINER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1 RICHMOND SQ STE 210E, PROVIDENCE, RI 02906-5166
(401) 369-7070
(401) 369-7080
Mailing address
1 RICHMOND SQ STE 210E, PROVIDENCE, RI 02906-5166
(401) 369-7070
(401) 369-7080

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
RI07384
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1190065641
MEDICARE ID
RI
Enumeration date
06/08/2006
Last updated
02/29/2024
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