Provider Demographics
NPI:1508991852
Name:WEINBERG, JOSEPH ARNOLD (MD)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:ARNOLD
Last Name:WEINBERG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1842 ELMHURST DR
Mailing Address - Street 2:
Mailing Address - City:GERMANTOWN
Mailing Address - State:TN
Mailing Address - Zip Code:38138-2771
Mailing Address - Country:US
Mailing Address - Phone:901-755-6180
Mailing Address - Fax:901-755-8707
Practice Address - Street 1:1842 ELMHURST DR
Practice Address - Street 2:
Practice Address - City:GERMANTOWN
Practice Address - State:TN
Practice Address - Zip Code:38138-2771
Practice Address - Country:US
Practice Address - Phone:901-755-6180
Practice Address - Fax:901-755-8707
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-23
Last Update Date:2024-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNMD00000130932080P0204X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0204XAllopathic & Osteopathic PhysiciansPediatricsPediatric Emergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNA98245Medicare UPIN