Individual
BRUCE MATHEW WEINSTEIN
Active
Individual
BRUCE MATHEW WEINSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
153652
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
153652
TAHP
MA
05
—
3190111
—
MA
01
—
68736
HPHC
MA
01
—
J19559
BC/BS
MA
01
—
MX2520
MEDICARE PTAN
MA
Enumeration date
05/04/2006
Last updated
03/10/2011
Update your record
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