Provider Demographics
NPI:1457477846
Name:WEINBERGER, MARC JEFFREY (DMD)
Entity Type:Individual
Prefix:DR
First Name:MARC
Middle Name:JEFFREY
Last Name:WEINBERGER
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15 CROSSWICKS ST
Mailing Address - Street 2:
Mailing Address - City:BORDENTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:08505-1736
Mailing Address - Country:US
Mailing Address - Phone:609-298-1238
Mailing Address - Fax:609-298-8522
Practice Address - Street 1:15 CROSSWICKS ST
Practice Address - Street 2:
Practice Address - City:BORDENTOWN
Practice Address - State:NJ
Practice Address - Zip Code:08505-1736
Practice Address - Country:US
Practice Address - Phone:609-298-1238
Practice Address - Fax:609-298-8522
Is Sole Proprietor?:No
Enumeration Date:2007-03-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ187021223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice