| Doctor Name: | JUDY KORIK WEINSTOCK |
| NPI Number: | 1275707275 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.D. |
| License Number: | 233301 |
| Business Practice Address: | 372 Washington St Wellesley, MA - 024816202 |
| Business Phone Number: | 7812355200 |
| Business Fax Number: | 7812351103 |
| Mailing Address: | 372 Washington St, WELLESLEY |
| State: | MA |
| Postal Code: | 024816202 |
| Phone Number: | 7812355200 |
| Fax Number: | 7812351103 |
| NPI Enumeration Date: | 04/22/2008 |
| NPI Last Update Date: | 04/07/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 233301 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |