Provider Demographics
NPI:1326142415
Name:WEINSTEIN, DAVID B (MD)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:B
Last Name:WEINSTEIN
Suffix:
Gender:M
Credentials:MD
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Other - Last Name:
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Mailing Address - Street 1:190 WEST BROAD ST
Mailing Address - Street 2:WHITTINGHAM PAVILION SUITE G401
Mailing Address - City:STAMFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06902-3633
Mailing Address - Country:US
Mailing Address - Phone:203-325-4321
Mailing Address - Fax:203-975-7515
Practice Address - Street 1:190 WEST BROAD ST
Practice Address - Street 2:WHITTINGHAM PAVILION #G401
Practice Address - City:STAMFORD
Practice Address - State:CT
Practice Address - Zip Code:06902-3633
Practice Address - Country:US
Practice Address - Phone:203-325-4321
Practice Address - Fax:203-975-7515
Is Sole Proprietor?:No
Enumeration Date:2006-09-11
Last Update Date:2011-10-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CT017811207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
D77518Medicare UPIN
160001650Medicare ID - Type Unspecified