Organization
MARK H. WEINSTEIN, MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK H WEINSTEIN MD (PRESIDENT)
(203) 624-0673
Entity
Organization
Contact information
Practice address
136 SHERMAN AVE, 407, NEW HAVEN, CT 06511-5238
(203) 624-0673
Mailing address
136 SHERMAN AVE, 407, NEW HAVEN, CT 06511-5238
(203) 624-0673
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
018620
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001186204
—
CT
01
—
010018620CT01
ANTHEM
—
01
—
020021073
RAILROAD MEDICARE
CT
01
—
0Q0135
HEALTHNET
—
01
—
186200
CTCARE
—
01
—
240000035
MEDICARE
—
01
—
NHS110
OXFORD
—
Enumeration date
02/04/2009
Last updated
02/04/2009
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