Healthcare Provider Details

I. General information

NPI: 1194717124
Provider Name (Legal Business Name): HOWARD WEINBLATT M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/16/2005
Last Update Date: 11/27/2012
Certification Date:
Deactivation Date: 03/27/2006
Reactivation Date: 03/27/2006

III. Provider practice location address

8342 HIGH SCHOOL RD
ELKINS PARK PA
19027-2026
US

IV. Provider business mailing address

8342 HIGH SCHOOL RD
ELKINS PARK PA
19027-2026
US

V. Phone/Fax

Practice location:
  • Phone: 215-782-1355
  • Fax:
Mailing address:
  • Phone: 215-782-1355
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberMD018940E
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: