Provider Demographics
NPI:1427079995
Name:WEISBERG, OREN L (MD)
Entity type:Individual
Prefix:
First Name:OREN
Middle Name:L
Last Name:WEISBERG
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:479 OLD UNION TPKE
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:MA
Mailing Address - Zip Code:01523-3029
Mailing Address - Country:US
Mailing Address - Phone:978-537-3900
Mailing Address - Fax:978-537-6030
Practice Address - Street 1:479 OLD UNION TPKE
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:MA
Practice Address - Zip Code:01523-3029
Practice Address - Country:US
Practice Address - Phone:978-537-3900
Practice Address - Fax:978-537-6030
Is Sole Proprietor?:No
Enumeration Date:2006-07-21
Last Update Date:2022-05-02
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA219635207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA2038315Medicaid
MAA36162Medicare PIN
MAA39632Medicare PIN