Individual
MELISSA WEIDNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
89 FRENCH ST STE 2300, NEW BRUNSWICK, NJ 08901-1935
(732) 235-7885
(732) 235-6620
Mailing address
66 W GILBERT ST FL 2, TINTON FALLS, NJ 07701-4947
(201) 759-6921
Taxonomy
Speciality
Code
Description
License number
State
2080P0206X
Pediatric Gastroenterology Physician
Primary
25MA09852800
NJ
Other
Enumeration date
04/21/2010
Last updated
07/23/2021
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