Individual
DR. JOEL ANDREW WEINSTEIN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
75 NIELSON ST, WATSONVILLE, CA 95076-2468
(831) 722-4300
(831) 768-6261
Mailing address
PO BOX 1885, WATSONVILLE, CA 95077-1885
(831) 722-4300
(831) 768-6261
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
G49173
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G491730
BLUE SHIELD
CA
05
—
00G491730
—
CA
01
—
G491730
LICENSE
CA
Enumeration date
09/23/2005
Last updated
07/09/2007
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