Provider Demographics
NPI:1841396009
Name:WEINSTOCK, PERRY J (MD)
Entity Type:Individual
Prefix:DR
First Name:PERRY
Middle Name:J
Last Name:WEINSTOCK
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 COOPER PLZ
Mailing Address - Street 2:KELEMAN 404
Mailing Address - City:CAMDEN
Mailing Address - State:NJ
Mailing Address - Zip Code:08103-1461
Mailing Address - Country:US
Mailing Address - Phone:856-342-2057
Mailing Address - Fax:856-968-8348
Practice Address - Street 1:3 COOPER PLZ
Practice Address - Street 2:SUITE 311
Practice Address - City:CAMDEN
Practice Address - State:NJ
Practice Address - Zip Code:08103-1438
Practice Address - Country:US
Practice Address - Phone:856-342-2034
Practice Address - Fax:856-342-6608
Is Sole Proprietor?:No
Enumeration Date:2006-09-15
Last Update Date:2016-04-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJMA60784207RC0000X
PAMD037333E207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
010003734OtherAMERICHOICE
1094887OtherHORIZON NJ HEALTH
19263OtherUNIVERSITY HEALTHPLAN
362210OtherAMERIHEALTH PPO
3K6054OtherHEALTHNET
0693464000OtherAMERIHEALTH HMO, KEYSTONE, IBC
2985925OtherAETNA
1980936OtherUNITED HEALTHCARE
060050286OtherRR MEDICARE
1479140OtherCIGNA
NJ6833802Medicaid
P966474OtherOXFORD HEALTHPLAN
362210OtherAMERIHEALTH PPO
NJ6833802Medicaid