Provider Demographics
NPI:1770589582
Name:WEINBERG, ROBERT M (MD)
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:M
Last Name:WEINBERG
Suffix:
Gender:M
Credentials:MD
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Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:6335 HOSPITAL PKWY
Mailing Address - Street 2:SUITE 111
Mailing Address - City:JOHNS CREEK
Mailing Address - State:GA
Mailing Address - Zip Code:30097-1549
Mailing Address - Country:US
Mailing Address - Phone:404-778-8311
Mailing Address - Fax:770-495-1585
Practice Address - Street 1:6335 HOSPITAL PKWY
Practice Address - Street 2:SUITE 111
Practice Address - City:JOHNS CREEK
Practice Address - State:GA
Practice Address - Zip Code:30097-1549
Practice Address - Country:US
Practice Address - Phone:404-778-8311
Practice Address - Fax:770-495-1585
Is Sole Proprietor?:No
Enumeration Date:2005-06-27
Last Update Date:2022-01-07
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY174859-1207L00000X
GA59939207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01355182Medicaid
NY01355182Medicaid