Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0700X | Prosthodontist | DI012142 | NJ |
NPI | 1083798581 |
---|---|
Provider Name | Dr. Robert E Weiner |
First Address | Princeton, NJ 08540-3516 |
Second Address | Princeton, NJ 08540-3516 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 24/10/2006 |
Last Update Date | 08/07/2007 |