Individual
DR. PETER ROBERT WEINER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
96 MILLBURN AVE, SUITE 200A, MILLBURN, NJ 07041-1944
(908) 686-7542
(973) 334-4253
Mailing address
PO BOX 3445, UNION, NJ 07083-1897
(908) 686-7542
(973) 334-4253
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
MA47728
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0700801
—
NJ
Enumeration date
10/10/2006
Last updated
04/11/2010
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