Individual
DR. BARRY WEINER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
109 PACIFIC AVE, JERSEY CITY, NJ 07304-3217
(201) 434-0008
(204) 451-2863
Mailing address
20011 KENO AVE, HOLLIS, NY 11423-1435
(718) 465-8792
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
25MA02569800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2922801
—
NJ
Enumeration date
10/19/2006
Last updated
07/08/2007
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