Individual
DR. ELLEN ADLER WEINBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
720 HARRISON AVE, DOB 503, BOSTON, MA 02118-2371
(617) 414-5405
Mailing address
830 HARRISON AVE, SUITE 1400, BOSTON, MA 02118-2905
(617) 638-8124
(617) 638-6424
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
01075774A
IN
207Y00000X
Otolaryngology Physician
243827
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
040011619
RAILROAD MEDICARE
—
05
—
110086810A
—
MA
01
—
CA8673
RAILROAD MEDICARE
—
Enumeration date
03/08/2006
Last updated
10/08/2015
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