Weilburg, Jeffrey B

Weilburg, Jeffrey B is an individual health care provider with primary practice located at 177 Park St , Newton MA 02458-2042. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Weilburg, Jeffrey B can be contacted via phone (617) 726-5600.

Contact Information

Primary practice address
177 Park St Newton MA 02458-2042
Fax: (617) 726-7541
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 76219 Massachusetts

Profile Details

NPI number 1336135953
LBN Legal business name Weilburg, Jeffrey B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2005
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336135953 NPPES
Massachusetts Other C04886 BLUE CROSS MA
Massachusetts MEDICAID 3045595 BLUE CROSS MA

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