Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RH0000X | Hematologist | 32424 | MA |
N | 207RX0202X | Medical Oncology | 32424 | MA |
NPI | 1396859294 |
---|---|
Provider Name | Ronald S Weinger |
First Address | Salem, MA 01970 |
Second Address | Peabody, MA 01960 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/08/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
120611 | (05) | MA |
B75633 | (02) |