Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 99-00384 | NC |
Y | 207XS0106X | Orthopaedic Hand Surgeon | 9900384 | NC |
NPI | 1053368464 |
---|---|
Provider Name | Dr. Matthew Adam Weingold |
First Address | Charlotte, NC 28260-2658 |
Second Address | Greensboro, NC 27405-3633 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/05/2006 |
Last Update Date | 13/07/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
891197V | (05) | NC |