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General NPI Number Information
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NPI Number | 1528274040
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Entity Type | Individual
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Provider Name | MARK EDWARD WEINSTEIN M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/14/2007
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Last Update Date | 05/27/2025
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Provider Practice Location Address
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Address Line | 5 FRANKLIN AVE STE 102
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City | BELLEVILLE
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State | NJ
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Zip | 07109-3504
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Country | US
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Telephone | 973-759-5842
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Fax | 973-759-0403
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Provider Business Mailing Address
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Address Line | PO BOX 95000 LOCK BOX 7685
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City | PHILADELPHIA
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State | PA
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Zip | 19195-0001
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Country | US
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Telephone | 844-362-1735
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Fax | 973-290-7495
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 25MA08190500
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 207K00000X
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Taxonomy Name | Allergy & Immunology Physician
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License Number | 25MA08190500
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License Number State | NJ
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