Individual
MICHAEL WEINRAUCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
211 MOUNTAIN AVE, ASSOCIATES IN CARDIOVASCULAR DISEASE, LLC, SPRINGFIELD, NJ 07081-2221
(973) 467-0005
(973) 912-8989
Mailing address
PO BOX 416457, PRACTICE ASSOCIATES MEDICAL GROUP, BOSTON, MA 02241-6457
(973) 656-6280
(973) 290-7495
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
184916
NY
207RC0000X
Cardiovascular Disease Physician
Primary
25MA08121100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00104412
—
NY
05
—
0178683
—
NJ
Enumeration date
02/10/2006
Last updated
05/09/2013
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