Weiner, Jay

Weiner, Jay is an individual health care provider with primary practice located at 79 Sand Pit Rd , Danbury CT 06810-4005. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Weiner, Jay can be contacted via phone (203) 749-5700.

Contact Information

Primary practice address
79 Sand Pit Rd Danbury CT 06810-4005
Phone: (203) 749-5700
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 15507 Connecticut
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 015507 Connecticut

Profile Details

NPI number 1821082611
LBN Legal business name Weiner, Jay
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 7th, 2005
Last updated Jul 10th, 2012 - about 12 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 1821082611 NPPES
Connecticut MEDICAID 001155076

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