Organization Name: | DR S ALAN WEINSTEIN PC |
NPI Number: | 1245696335 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SHELDON ALAN WEINSTEIN (PROPRIETOR) |
Mailing Address: | 42 Throckmorton Ln # 211a Old Bridge |
State: | NJ US |
Postal Code: | 088572572 |
Phone Number: | 7326791111 |
Fax Number: | 7326795555 |
NPI Enumeration Date: | 01/06/2016 |
NPI Last Update Date: | 01/06/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | MB01763200 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |