Doctor Name: | COREY J WEINER |
NPI Number: | 1891720272 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | MA46748 |
Business Practice Address: | 1031 Mcbride Ave Suite D 210 West Paterson, NJ - 074242559 |
Business Phone Number: | 9738900037 |
Business Fax Number: | 9732561350 |
Mailing Address: | 1031 Mcbride Ave, Suite D 210 WEST PATERSON |
State: | NJ |
Postal Code: | 074242559 |
Phone Number: | 9738900037 |
Fax Number: | 9732561350 |
NPI Enumeration Date: | 07/12/2006 |
NPI Last Update Date: | 04/30/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085R0202X |
License Number: | MA46748 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Diagnostic Radiology |
Taxonomy Definition: | A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |