Provider Demographics
NPI:1326043837
Name:WEINSTEIN, ROBERT SEIDEL (MD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:SEIDEL
Last Name:WEINSTEIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:1521 LOCUST ST
Mailing Address - Street 2:STE 1000
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19102-3716
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:251-736-4939
Practice Address - Street 1:1521 LOCUST ST
Practice Address - Street 2:STE 1000
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19102-3716
Practice Address - Country:US
Practice Address - Phone:215-735-0658
Practice Address - Fax:215-735-4939
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-21
Last Update Date:2011-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD013829E207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAD71342Medicare UPIN