Provider Demographics
NPI:1790127736
Name:WEINSTEIN, JUDITH KAREN (MD)
Entity Type:Individual
Prefix:DR
First Name:JUDITH
Middle Name:KAREN
Last Name:WEINSTEIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:713 HADDON AVE
Mailing Address - Street 2:
Mailing Address - City:COLLINGSWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:08108-3711
Mailing Address - Country:US
Mailing Address - Phone:856-240-1558
Mailing Address - Fax:480-393-5818
Practice Address - Street 1:713 HADDON AVE
Practice Address - Street 2:
Practice Address - City:COLLINGSWOOD
Practice Address - State:NJ
Practice Address - Zip Code:08108-3711
Practice Address - Country:US
Practice Address - Phone:856-240-1558
Practice Address - Fax:480-393-5818
Is Sole Proprietor?:No
Enumeration Date:2013-07-18
Last Update Date:2013-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD039794L2085R0204X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0204XAllopathic & Osteopathic PhysiciansRadiologyVascular & Interventional Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAMD039794LOtherMEDICAL LICENSE