Provider Demographics
NPI:1407293129
Name:WEINSTEIN, DORIA (RD)
Entity Type:Individual
Prefix:
First Name:DORIA
Middle Name:
Last Name:WEINSTEIN
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:509 CARRIAGE DR
Mailing Address - Street 2:
Mailing Address - City:ORANGE
Mailing Address - State:CT
Mailing Address - Zip Code:06477-2917
Mailing Address - Country:US
Mailing Address - Phone:305-790-7676
Mailing Address - Fax:
Practice Address - Street 1:509 CARRIAGE DR
Practice Address - Street 2:
Practice Address - City:ORANGE
Practice Address - State:CT
Practice Address - Zip Code:06477-2917
Practice Address - Country:US
Practice Address - Phone:305-790-7676
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-06-04
Last Update Date:2013-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT726103133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered