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NPI Code Detail

MEDICARE: GAIL WEINGAST MD

MEDICARE: GAIL WEINGAST 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
12085R0202XDiagnostic Radiology Physician30701CT

Other Identifiers

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

General Provider Information

NPI Number : 1851387526
Entity Type Code : Individual
Provider Name (Legal Business Name) : GAIL WEINGAST MD
Provider Business Mailing Address
First Line : PO BOX 9132
Second Line :
City : BROOKLINE
State : MA
Zip : 02446-9132
Country : US
Telephone Number : 603-893-9784
Fax Number :
Provider Business Practice Location Address
First Line : 326 WASHINGTON ST
Second Line :
City : NORWICH
State : CT
Zip : 06360-2740
Country : US
Telephone Number : 860-823-6303
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/27/2005
Last Update Date : 03/10/2010

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Directions to “ GAIL WEINGAST MD” Practice Location

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