Provider Demographics
NPI:1700016276
Name:NORTH READING INTERNAL MEDICINE, PC
Entity Type:Organization
Organization Name:NORTH READING INTERNAL MEDICINE, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:WAYNE
Authorized Official - Middle Name:H
Authorized Official - Last Name:WEINREB
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:978-276-0100
Mailing Address - Street 1:21 MAIN ST
Mailing Address - Street 2:SUITE 3A
Mailing Address - City:NORTH READING
Mailing Address - State:MA
Mailing Address - Zip Code:01864-5001
Mailing Address - Country:US
Mailing Address - Phone:978-276-0100
Mailing Address - Fax:978-276-0041
Practice Address - Street 1:21 MAIN ST
Practice Address - Street 2:SUITE 3A
Practice Address - City:NORTH READING
Practice Address - State:MA
Practice Address - Zip Code:01864-5001
Practice Address - Country:US
Practice Address - Phone:978-276-0100
Practice Address - Fax:978-276-0041
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-19
Last Update Date:2011-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA54482207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty