Most Relevant Information
Provider Data
| NPI Number: | 1003037292 |
| Provider Name: | JEFFREY MARC WEINER DDS |
| Entity Type: | Individual |
| Taxonomy Code: | 1223G0001X |
| Specialty: | Dentist |
| License Number: | DS-019951-L |
Most Important Dates
| Enumeration Date: | 05/02/2007 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
3254 RED LION RD
PHILADELPHIA
PA
191141109
Practice Location Phone/Fax
| Phone: | 2156321612 |
| Fax: | 2156323221 |
Provider Mailing Location
3254 RED LION RD
PHILADELPHIA
PA
191141109
Provider Mailing Phone/Fax
| Phone: | 2156321612 |
| Fax: | 2156323221 |