Provider Demographics
NPI:1760463616
Name:WEINSTEIN, JAY JUSTIN (MD)
Entity Type:Individual
Prefix:DR
First Name:JAY
Middle Name:JUSTIN
Last Name:WEINSTEIN
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Gender:M
Credentials:MD
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Mailing Address - Street 1:2424 E 21ST ST
Mailing Address - Street 2:SUITE 425
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74114-1711
Mailing Address - Country:US
Mailing Address - Phone:918-743-4053
Mailing Address - Fax:918-743-2845
Practice Address - Street 1:2424 E 21ST ST
Practice Address - Street 2:SUITE 425
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74114-1711
Practice Address - Country:US
Practice Address - Phone:918-743-4053
Practice Address - Fax:918-743-2845
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-11-08
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
OK10096207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OKD35391Medicare UPIN