Provider Demographics
NPI:1972585198
Name:STEINBERG, IRWIN CARY (MD)
Entity Type:Individual
Prefix:DR
First Name:IRWIN
Middle Name:CARY
Last Name:STEINBERG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10796 PINES BLVD
Mailing Address - Street 2:SUITE 104
Mailing Address - City:PEMBROKE PINES
Mailing Address - State:FL
Mailing Address - Zip Code:33026
Mailing Address - Country:US
Mailing Address - Phone:954-442-3777
Mailing Address - Fax:954-442-4555
Practice Address - Street 1:10796 PINES BLVD
Practice Address - Street 2:SUITE 104
Practice Address - City:PEMBROKE PINES
Practice Address - State:FL
Practice Address - Zip Code:33026
Practice Address - Country:US
Practice Address - Phone:954-442-3777
Practice Address - Fax:954-442-4555
Is Sole Proprietor?:No
Enumeration Date:2005-11-15
Last Update Date:2011-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME73098207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLME73098Medicaid
FL251861900Medicaid
45047RMedicare ID - Type Unspecified
FLME73098Medicaid