Provider Demographics
NPI:1649415423
Name:WEINSTEIN, ZOE E (PA-C)
Entity Type:Individual
Prefix:MS
First Name:ZOE
Middle Name:E
Last Name:WEINSTEIN
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:MS
Other - First Name:ZOE
Other - Middle Name:E
Other - Last Name:ERCOLANO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:LAZAROU UROLOGY ASSOCIATES
Mailing Address - Street 2:65 WALNUT ST #460
Mailing Address - City:WELLESLEY HILLS
Mailing Address - State:MA
Mailing Address - Zip Code:02481
Mailing Address - Country:US
Mailing Address - Phone:781-237-9000
Mailing Address - Fax:781-237-9001
Practice Address - Street 1:LAZAROU UROLOGY ASSOCIATES
Practice Address - Street 2:65 WALNUT ST #460
Practice Address - City:WELLESLEY HILLS
Practice Address - State:MA
Practice Address - Zip Code:02481
Practice Address - Country:US
Practice Address - Phone:781-237-9000
Practice Address - Fax:781-237-9001
Is Sole Proprietor?:No
Enumeration Date:2008-12-09
Last Update Date:2018-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAPA5581363AM0700X
PAMA052559363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical