Doctor Name: | SHELDON ALAN WEINSTEIN |
NPI Number: | 1407829401 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.O. |
License Number: | MB17632 |
Business Practice Address: | 3897 Highway 516 Suite 2c Old Bridge, NJ - 088572499 |
Business Phone Number: | 7326791111 |
Business Fax Number: | 7323946436 |
Mailing Address: | 3897 Highway 516, Suite 2c OLD BRIDGE |
State: | NJ |
Postal Code: | 088572499 |
Phone Number: | 7326791111 |
Fax Number: | 7323946436 |
NPI Enumeration Date: | 02/09/2006 |
NPI Last Update Date: | 05/02/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | MB17632 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |