Individual
SCOTT ALEX WEINER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
20 YORK ST, YNHH CHILDREN'S HOSPITAL, WEST PAVILION, 4TH FL, NEW HAVEN, CT 06510-3220
(203) 688-2318
Mailing address
20 YORK ST, YNHH CHILDREN'S HOSPITAL, WEST PAVILION, 4TH FL, NEW HAVEN, CT 06510-3220
(203) 688-2318
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
040586
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001405861
—
CT
Enumeration date
11/29/2005
Last updated
04/07/2011
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