Provider Demographics
NPI:1164479143
Name:WEINSHEL, ALAN JEFFREY (MD)
Entity Type:Individual
Prefix:
First Name:ALAN
Middle Name:JEFFREY
Last Name:WEINSHEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 6002
Mailing Address - Street 2:
Mailing Address - City:NEW BEDFORD
Mailing Address - State:MA
Mailing Address - Zip Code:02742-6002
Mailing Address - Country:US
Mailing Address - Phone:508-985-5035
Mailing Address - Fax:508-985-5038
Practice Address - Street 1:275 ALLEN ST
Practice Address - Street 2:
Practice Address - City:NEW BEDFORD
Practice Address - State:MA
Practice Address - Zip Code:02740-3373
Practice Address - Country:US
Practice Address - Phone:508-992-9167
Practice Address - Fax:508-999-9880
Is Sole Proprietor?:No
Enumeration Date:2006-05-27
Last Update Date:2008-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA45723207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA2087952Medicaid
MA60403OtherHARVARD-PILGRIM HEALTHCARE
MAJ02045OtherBCBS-MA
MAA56335Medicare UPIN
MA2087952Medicaid