Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | MD-423427 | PA |
Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | MD-423427 | PA |
NPI | 1124047071 |
---|---|
Provider Name | Dr. Louis Weinstein |
First Address | Philadelphia, PA 19106-4404 |
Second Address | Philadelphia, PA 19107-5127 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/07/2006 |
Last Update Date | 20/07/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0025658 | (05) | NJ |
100927516 | (05) | PA |