Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VG0400X | Gynecologist | 25MA02523700 | NJ |
NPI | 1164488672 |
---|---|
Provider Name | Michael Weingarten |
First Address | East Brunswick, NJ 08816-4911 |
Second Address | East Brunswick, NJ 08816-4911 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/04/2006 |
Last Update Date | 13/07/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
E06100 | (02) | NJ |