Provider Demographics
NPI:1447238639
Name:WEINBERGER, GEORGE IAN (MD)
Entity Type:Individual
Prefix:DR
First Name:GEORGE
Middle Name:IAN
Last Name:WEINBERGER
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 1:190 GREENBROOK RD
Mailing Address - Street 2:
Mailing Address - City:NORTH PLAINFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07060-3903
Mailing Address - Country:US
Mailing Address - Phone:908-561-8070
Mailing Address - Fax:908-561-8071
Practice Address - Street 1:190 GREENBROOK RD
Practice Address - Street 2:
Practice Address - City:NORTH PLAINFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07060-3903
Practice Address - Country:US
Practice Address - Phone:908-561-8070
Practice Address - Fax:908-561-8071
Is Sole Proprietor?:No
Enumeration Date:2006-01-06
Last Update Date:2008-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA035828207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJD47676Medicare UPIN
NJ122114Medicare PIN