Individual
GERALD STANLEY WEINSTEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1631 HOSPITAL DR, SUITE 240, SANTA FE, NM 87505-4728
(505) 913-3975
(505) 946-8001
Mailing address
1631 HOSPITAL DR, SUITE 240, SANTA FE, NM 87505-4728
(505) 913-3975
(505) 946-8001
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
2001121
NM
2086S0129X
Vascular Surgery Physician
MD043777L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0012356470006
—
PA
05
—
A6265
—
NM
01
—
NM009337
BCBS OF NM
NM
Enumeration date
07/18/2005
Last updated
08/05/2010
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