Provider Demographics
NPI:1568756427
Name:WEINREB PEDIATRICS
Entity Type:Organization
Organization Name:WEINREB PEDIATRICS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:
Authorized Official - First Name:MARK
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:WEINREB
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:603-934-7334
Mailing Address - Street 1:446 CENTRAL ST
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:NH
Mailing Address - Zip Code:03235-1777
Mailing Address - Country:US
Mailing Address - Phone:603-934-7334
Mailing Address - Fax:603-934-7711
Practice Address - Street 1:446 CENTRAL ST
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:NH
Practice Address - Zip Code:03235-1777
Practice Address - Country:US
Practice Address - Phone:603-934-7334
Practice Address - Fax:603-934-7711
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-07
Last Update Date:2011-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH9507208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty