Provider Demographics
NPI:1295925733
Name:WEINTRAUB AND KESSLER LLC
Entity type:Organization
Organization Name:WEINTRAUB AND KESSLER LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:L
Authorized Official - Last Name:EISENSTEIN
Authorized Official - Suffix:
Authorized Official - Credentials:LICENSED OPTICIAN
Authorized Official - Phone:410-848-6660
Mailing Address - Street 1:200 WASHINGTON HEIGHTS MED CTR
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:MD
Mailing Address - Zip Code:21157-5633
Mailing Address - Country:US
Mailing Address - Phone:410-848-6660
Mailing Address - Fax:410-848-5314
Practice Address - Street 1:200 WASHINGTON HEIGHTS MED CTR
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:MD
Practice Address - Zip Code:21157-5633
Practice Address - Country:US
Practice Address - Phone:410-848-6660
Practice Address - Fax:410-848-5314
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:WEINTRAUB AND KESSLER LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-07-31
Last Update Date:2010-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD06192318332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
1050310001Medicare NSC