| Organization Name: | FREDERICK M WEINTRAUB |
| NPI Number: | 1710148200 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | FREDERICK M WEINTRAUB (PRESIDENT) |
| Mailing Address: | 153 Paris Ave Ste A Northvale |
| State: | NJ US |
| Postal Code: | 076472054 |
| Phone Number: | 2017841828 |
| Fax Number: | 2017841611 |
| NPI Enumeration Date: | 06/18/2008 |
| NPI Last Update Date: | 06/21/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213ES0103X |
| License Number: | 25MD00178500 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Foot & Ankle Surgery |
| Taxonomy Definition: | |