Individual
ERIC D WEINER
Active
Individual
ERIC D WEINER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2006-00696
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1421N
BCBS OF NC
NC
01
—
190440
MEDCOST
NC
01
—
331144710
FEDERAL TAX ID
NC
01
—
5708695
CIGNA HEALTHCARE
NC
01
—
69232
PRIVATE HEALTHCARE SYSTEM
NC
Enumeration date
06/12/2006
Last updated
07/08/2007
Update your record
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