Provider Demographics
NPI:1619033529
Name:WEINTRAUB, STEVE (DO)
Entity Type:Individual
Prefix:
First Name:STEVE
Middle Name:
Last Name:WEINTRAUB
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:475 COUNTY ROAD 520
Mailing Address - Street 2:SUITE 101
Mailing Address - City:MARLBORO
Mailing Address - State:NJ
Mailing Address - Zip Code:07746-1059
Mailing Address - Country:US
Mailing Address - Phone:732-946-2100
Mailing Address - Fax:732-463-6070
Practice Address - Street 1:475 COUNTY ROAD 520
Practice Address - Street 2:SUITE 101
Practice Address - City:MARLBORO
Practice Address - State:NJ
Practice Address - Zip Code:07746-1059
Practice Address - Country:US
Practice Address - Phone:732-946-2100
Practice Address - Fax:732-463-6070
Is Sole Proprietor?:No
Enumeration Date:2006-12-28
Last Update Date:2017-03-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MB05602400207QS0010X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QS0010XAllopathic & Osteopathic PhysiciansFamily MedicineSports Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ662834Medicare PIN