Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2080P0202X | Pediatric Cardiologist | 042-0008944 | VT |
Y | 2080P0202X | Pediatric Cardiologist | 9173 | NH |
NPI | 1073625059 |
---|---|
Provider Name | Steven Weindling |
First Address | Lebanon, NH 03756-1000 |
Second Address | Lebanon, NH 03756-1000 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/08/2006 |
Last Update Date | 16/04/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0RE3086 | (05) | VT |
30006771 | (05) | NH |
F81111 | (02) |