Healthcare Provider Details

I. General information

NPI: 1205833282
Provider Name (Legal Business Name): PHILIP S WEINSTEIN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/05/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

825 WASHINGTON ST SUITE 340
NORWOOD MA
02062-3441
US

IV. Provider business mailing address

825 WASHINGTON ST SUITE 340
NORWOOD MA
02062-3441
US

V. Phone/Fax

Practice location:
  • Phone: 781-762-4255
  • Fax: 781-762-0634
Mailing address:
  • Phone: 781-762-4255
  • Fax: 781-762-0634

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License Number44343
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: