Provider Demographics
NPI:1417961814
Name:WEG, ARNOLD LEON (MD)
Entity Type:Individual
Prefix:DR
First Name:ARNOLD
Middle Name:LEON
Last Name:WEG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:71 36 110 ST
Mailing Address - Street 2:SUITE 1G
Mailing Address - City:FOREST HILLS
Mailing Address - State:NY
Mailing Address - Zip Code:11375
Mailing Address - Country:US
Mailing Address - Phone:718-520-2210
Mailing Address - Fax:718-520-4448
Practice Address - Street 1:71 36 110 ST
Practice Address - Street 2:SUITE 1G
Practice Address - City:FOREST HILLS
Practice Address - State:NY
Practice Address - Zip Code:11375
Practice Address - Country:US
Practice Address - Phone:718-520-2210
Practice Address - Fax:718-520-4448
Is Sole Proprietor?:No
Enumeration Date:2006-07-28
Last Update Date:2007-10-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY155577207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY05587Medicare PIN
NY88D672Medicare PIN
B88916Medicare UPIN