Provider Demographics
NPI:1689777039
Name:WEINTRAUB, MARTIN J (MD)
Entity Type:Individual
Prefix:DR
First Name:MARTIN
Middle Name:J
Last Name:WEINTRAUB
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:200 WASHINGTON HEIGHTS MEDICAL CENTER
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:MD
Mailing Address - Zip Code:21157-5633
Mailing Address - Country:US
Mailing Address - Phone:410-848-4095
Mailing Address - Fax:410-848-5314
Practice Address - Street 1:200 WASHINGTON HEIGHTS MEDICAL CENTER
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:MD
Practice Address - Zip Code:21157-5633
Practice Address - Country:US
Practice Address - Phone:410-848-4095
Practice Address - Fax:410-848-5314
Is Sole Proprietor?:No
Enumeration Date:2006-09-07
Last Update Date:2019-10-02
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Provider Licenses
StateLicense IDTaxonomies
MDD25813207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD52-1881309OtherTAX ID