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Individual

DR. MARK S WEINSTEIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
2032 NORTH BROAD STREET, LANSDALE, PA 19446
(215) 368-6636
(215) 368-9782
Mailing address
2032 NORTH BROAD STREET, LANSDALE, PA 19446
(215) 368-6636
(215) 368-9782

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS017959L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
010210
AETNA
PA
01
114011
UNITED CONCORDIA
PA
Enumeration date
04/12/2007
Last updated
07/08/2007
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