Provider Demographics
NPI:1851383483
Name:WEINBERG, HOWARD M (DO)
Entity Type:Individual
Prefix:
First Name:HOWARD
Middle Name:M
Last Name:WEINBERG
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:301 LIPPINCOTT DR STE 410
Mailing Address - Street 2:
Mailing Address - City:MARLTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08053-4197
Mailing Address - Country:US
Mailing Address - Phone:856-355-0340
Mailing Address - Fax:856-355-0330
Practice Address - Street 1:239 HURFFVILLE CROSSKEYS RD STE 210
Practice Address - Street 2:
Practice Address - City:SEWELL
Practice Address - State:NJ
Practice Address - Zip Code:08080-4003
Practice Address - Country:US
Practice Address - Phone:856-589-0300
Practice Address - Fax:856-589-1753
Is Sole Proprietor?:No
Enumeration Date:2005-08-19
Last Update Date:2022-11-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAOS007340E207RC0000X
NJMB52747207RC0000X
NJ25MB05274700207UN0901X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207UN0901XAllopathic & Osteopathic PhysiciansNuclear MedicineNuclear Cardiology
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ6192408Medicaid
F81292Medicare UPIN
NJ6192408Medicaid