Provider Demographics
NPI:1679951453
Name:CYNTHIA WEINSTEIN MD
Entity Type:Organization
Organization Name:CYNTHIA WEINSTEIN MD
Other - Org Name:MONTROSE FAMILY PRACTICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:L
Authorized Official - Last Name:WEINSTEIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:330-666-9769
Mailing Address - Street 1:525 N CLEVELAND MASSILLON RD
Mailing Address - Street 2:SUITE 203
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44333-3360
Mailing Address - Country:US
Mailing Address - Phone:330-666-9769
Mailing Address - Fax:330-666-7530
Practice Address - Street 1:525 N CLEVELAND MASSILLON RD
Practice Address - Street 2:SUITE 203
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44333-3360
Practice Address - Country:US
Practice Address - Phone:330-666-9769
Practice Address - Fax:330-666-7530
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-12
Last Update Date:2015-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35052243207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty