MEDICARE: JOSEPH SETH WEINSTEIN MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RI0011X	Interventional Cardiology Physician	20105	TN
2	207RI0011X	Interventional Cardiology Physician	14740	MS
3	207RI0011X	Interventional Cardiology Physician	110151	MO

General Provider Information

NPI Number	:	1922003037
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOSEPH SETH WEINSTEIN MD

Provider Business Mailing Address
First Line	:	4901 RALEIGH COMMON DR
Second Line	:	STE 100
City	:	MEMPHIS
State	:	TN
Zip	:	38128-2478
Country	:	US
Telephone Number	:	901-572-1801
Fax Number	:

Provider Business Practice Location Address
First Line	:	4901 RALEIGH COMMON DRIVE
Second Line	:	SUITE 100
City	:	MEMPHIS
State	:	TN
Zip	:	38128
Country	:	US
Telephone Number	:	901-572-1801
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/15/2005
Last Update Date	:	02/07/2024

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