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NPI Code Detail

MEDICARE: DR. DEBRA F WEINSTEIN MD

MEDICARE:  DR. DEBRA F WEINSTEIN  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RG0100XGastroenterology Physician56136MA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1056136OTHERMATUFTS HEALTH PLAN
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3J05621OTHERMABCBS OF MA

General Provider Information

NPI Number : 1124028238
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DEBRA F WEINSTEIN MD
Provider Business Mailing Address
First Line : 55 FRUIT ST
Second Line :
City : BOSTON
State : MA
Zip : 02114-2621
Country : US
Telephone Number : 617-724-0287
Fax Number : 617-726-2894
Provider Business Practice Location Address
First Line : 55 FRUIT ST
Second Line :
City : BOSTON
State : MA
Zip : 02114-2621
Country : US
Telephone Number : 617-724-6007
Fax Number : 617-726-2118
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/29/2005
Last Update Date : 07/08/2007

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Directions to “ DR. DEBRA F WEINSTEIN MD” Practice Location

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