Provider Demographics
NPI:1861475493
Name:BRENDEL, REBECCA WEINTRAUB (MD)
Entity Type:Individual
Prefix:DR
First Name:REBECCA
Middle Name:WEINTRAUB
Last Name:BRENDEL
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Gender:F
Credentials:MD
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Mailing Address - Street 1:PO BOX 9142
Mailing Address - Street 2:MASS. GENERAL PHYSICIAN ORGANIZATION
Mailing Address - City:CHARLESTOWN
Mailing Address - State:MA
Mailing Address - Zip Code:02129-9142
Mailing Address - Country:US
Mailing Address - Phone:617-724-5202
Mailing Address - Fax:617-643-9715
Practice Address - Street 1:55 FRUIT ST S60-1
Practice Address - Street 2:MASSACHUSETTS GENERAL HOSPITAL
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02114-2621
Practice Address - Country:US
Practice Address - Phone:617-724-9575
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-11-29
Last Update Date:2012-09-06
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Provider Licenses
StateLicense IDTaxonomies
MA2134142084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry