Individual
DR. FREDERICK GORDON WEINSTEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
110 WEST RD, SUITE 102, TOWSON, MD 21204-2316
(443) 418-5999
(410) 561-5598
Mailing address
110 WEST RD, SUITE 102, TOWSON, MD 21204-2316
(443) 418-5999
(410) 561-5598
Taxonomy
Speciality
Code
Description
License number
State
207VE0102X
Reproductive Endocrinology Physician
D29576
MD
207VG0400X
Gynecology Physician
Primary
D29576
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
523284
AETNA HMO
MD
01
—
8863
BC/BS OF MARYLAND
MD
01
—
E163
BC/NS OF DC
MD
01
—
E1630001
BLUE CHOICE
DC
Enumeration date
09/01/2006
Last updated
07/02/2012
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