Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207VE0102X | Reproductive Endocrinologist | D29576 | MD |
Y | 207VG0400X | Gynecologist | D29576 | MD |
NPI | 1245332477 |
---|---|
Provider Name | Dr. Frederick Gordon Weinstein |
First Address | Towson, MD 21204-2316 |
Second Address | Towson, MD 21204-2316 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/09/2006 |
Last Update Date | 02/07/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
523284 | AETNA HMO (01) | MD |
8863 | BC/BS OF MARYLAND (01) | MD |
B73043 | (02) | MD |
E163 | BC/NS OF DC (01) | MD |
E1630001 | BLUE CHOICE (01) | DC |