MEDICARE: DR. PHILIP S 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
1	207RR0500X	Rheumatology Physician	44343	MA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1205833282
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PHILIP S WEINSTEIN MD

Provider Business Mailing Address
First Line	:	825 WASHINGTON ST
Second Line	:	SUITE 340
City	:	NORWOOD
State	:	MA
Zip	:	02062-3441
Country	:	US
Telephone Number	:	781-762-4255
Fax Number	:	781-762-0634

Provider Business Practice Location Address
First Line	:	825 WASHINGTON ST
Second Line	:	SUITE 340
City	:	NORWOOD
State	:	MA
Zip	:	02062-3441
Country	:	US
Telephone Number	:	781-762-4255
Fax Number	:	781-762-0634

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/05/2005
Last Update Date	:	07/08/2007

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