Healthcare Provider Details

I. General information

NPI: 1487629234
Provider Name (Legal Business Name): ARTHUR C WEINSTOCK III DO
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/22/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

140 CAPES TRL
WEST BARNSTABLE MA
02668-1350
US

IV. Provider business mailing address

140 CAPES TRL
WEST BARNSTABLE MA
02668-1350
US

V. Phone/Fax

Practice location:
  • Phone: 508-362-1531
  • Fax: 508-362-1531
Mailing address:
  • Phone: 508-362-1531
  • Fax: 508-362-1531

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number203959
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: