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Individual

MARK H. WEINSTEIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
136 SHERMAN AVE, #407, NEW HAVEN, CT 06511-5238
(203) 624-0673
Mailing address
136 SHERMAN AVE, SUITE 407, NEW HAVEN, CT 06511-5238
(203) 624-0673
(203) 907-4593

Taxonomy

Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
018620
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
010018620CT01
ANTHEM ID
CT
01
0Q0135
HEALTHNET ID
CT
01
186200
CTCARE
CT
01
NHS110
OXFORD
CT
Enumeration date
06/13/2006
Last updated
10/11/2007
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