Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YX0905X | Otolaryngology/Facial Plastic Surgery | ME056006 | FL |
NPI | 1245242973 |
---|---|
Provider Name | Dr. Richard A Weinstock |
First Address | Boca Raton, FL 33486-2335 |
Second Address | Palm Beach Gardens, FL 33410-4353 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/08/2006 |
Last Update Date | 09/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
A61168 | (02) | FL |