Weinberg, Marc S

Weinberg, Marc S is an sole proprietor health care provider with primary practice located at 1 Randall Sq Ste 304 , Providence RI 02904-2773. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Nephrology, Other Service Providers / Specialist. Allopathic & Osteopathic Physicians / Nephrology is his primary health care specialty. Weinberg, Marc S can be contacted via phone (401) 228-3000.

Contact Information

Primary practice address
1 Randall Sq Ste 304 Providence RI 02904-2773
Phone: (401) 228-3000
Fax: (401) 649-4222
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 43058 Massachusetts
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X MD05402 Rhode Island
Other Service Providers / Specialist 174400000X RI5402 Rhode Island

Profile Details

NPI number 1558364604
LBN Legal business name Weinberg, Marc S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 23rd, 2005
Last updated Aug 5th, 2019 - about 5 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 1558364604 NPPES
Rhode Island MEDICAID 7000252

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