Individual
DR. MARK STEPHEN WEINFELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
55 FRUIT ST, VBK 508 CARDIAC ULTRASOUND, BOSTON, MA 02114-2696
(617) 726-8871
(617) 726-8383
Mailing address
PO BOX 9142, MASS GENERAL PHYSICIAN ORGANIZATION, CHARLESTOWN, MA 02129-9142
(617) 724-0287
(617) 726-2894
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
77805
MA
207RC0000X
Cardiovascular Disease Physician
Primary
77805
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
077805
TUFTS HEALTH PLAN
MA
05
—
2018764
—
MA
01
—
J26657
BCBS MA
MA
Enumeration date
11/02/2005
Last updated
02/15/2012
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