Provider Demographics
NPI:1417953720
Name:WEINBERG, AUREN STEVE (MD)
Entity Type:Individual
Prefix:DR
First Name:AUREN
Middle Name:STEVE
Last Name:WEINBERG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:112 S 19TH ST APT 1407
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19103-4679
Mailing Address - Country:US
Mailing Address - Phone:267-907-3097
Mailing Address - Fax:215-493-1470
Practice Address - Street 1:112 S 19TH ST APT 1407
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19103-4679
Practice Address - Country:US
Practice Address - Phone:267-907-3097
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-06-22
Last Update Date:2022-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME146146208D00000X
PAMD068622L208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAH17048Medicare UPIN