Healthcare Provider Details

I. General information

NPI: 1295925733
Provider Name (Legal Business Name): WEINTRAUB AND KESSLER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/31/2007
Last Update Date: 02/22/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 WASHINGTON HEIGHTS MED CTR
WESTMINSTER MD
21157-5633
US

IV. Provider business mailing address

200 WASHINGTON HEIGHTS MED CTR
WESTMINSTER MD
21157-5633
US

V. Phone/Fax

Practice location:
  • Phone: 410-848-6660
  • Fax: 410-848-5314
Mailing address:
  • Phone: 410-848-6660
  • Fax: 410-848-5314

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number06192318
License Number StateMD

VIII. Authorized Official

Name: MR. RONALD L EISENSTEIN
Title or Position: MANAGER
Credential: LICENSED OPTICIAN
Phone: 410-848-6660