Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0000X | Internist - Cardiovascular Disease | 21134 | NC |
NPI | 1023116647 |
---|---|
Provider Name | Richard Alan Weintraub |
First Address | Greensboro, NC 27408-7616 |
Second Address | Greensboro, NC 27408-7616 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/09/2006 |
Last Update Date | 18/08/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
11525 | BCBS NC (01) | NC |
8911525 | (05) | NC |
C87076 | (02) | NC |