Weiner, Edward J

Weiner, Edward J is an individual health care provider with primary practice located at 116 West Ave Fairview Internal Medicine, Great Barrington MA 01230. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Weiner, Edward J can be contacted via phone (413) 528-8647.

Contact Information

Primary practice address
116 West Ave Fairview Internal Medicine Great Barrington MA 01230
Phone: (413) 528-8647
Fax: (413) 528-8290
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 151432 Massachusetts

Profile Details

NPI number 1083672752
LBN Legal business name Weiner, Edward J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2006
Last updated Feb 16th, 2010 - about 15 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 1083672752 NPPES
Massachusetts MEDICAID 3156575

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