Individual
JED K. WEINSTOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 GENERAL ST, LAWRENCE, MA 01841-2961
(978) 946-8103
Mailing address
2527 CRANBERRY HWY, WAREHAM, MA 02571-1046
(800) 841-5200
(508) 273-1241
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
270823
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03686266
—
NY
01
—
12584439
CAQH
—
Enumeration date
09/07/2007
Last updated
12/20/2018
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