Individual
DR. MARTIN A WEINSTOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD,PHD
Contact information
Practice address
593 EDDY ST, APC#10, PROVIDENCE, RI 02903-4923
(401) 444-7959
(401) 444-7144
Mailing address
593 EDDY ST, APC#10, PROVIDENCE, RI 02903-4923
(401) 444-7959
(401) 444-7144
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
MD54155
MA
207N00000X
Dermatology Physician
Primary
MD7404
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
709004108
GROUP MEDICARE
RI
05
—
9006476
—
RI
Enumeration date
06/08/2006
Last updated
07/10/2007
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