Provider Demographics
NPI:1639485832
Name:ALISON WEINER, M.D., P.C.
Entity Type:Organization
Organization Name:ALISON WEINER, M.D., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ALISON
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:WEINER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:973-655-0012
Mailing Address - Street 1:543 VALLEY RD
Mailing Address - Street 2:SUITE 7
Mailing Address - City:UPPER MONTCLAIR
Mailing Address - State:NJ
Mailing Address - Zip Code:07043-1881
Mailing Address - Country:US
Mailing Address - Phone:973-655-0012
Mailing Address - Fax:973-655-0010
Practice Address - Street 1:543 VALLEY RD
Practice Address - Street 2:SUITE 7
Practice Address - City:UPPER MONTCLAIR
Practice Address - State:NJ
Practice Address - Zip Code:07043-1881
Practice Address - Country:US
Practice Address - Phone:973-655-0012
Practice Address - Fax:973-655-0010
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-25
Last Update Date:2010-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty