Individual
DR. BRUCE W WEINSTOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MPH
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114-2621
(617) 818-7976
Mailing address
66 LAWTON ST, BROOKLINE, MA 02446-5801
(617) 818-7976
Taxonomy
Speciality
Code
Description
License number
State
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
71557
MA
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
71557
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3051196
—
MA
Enumeration date
03/14/2006
Last updated
01/03/2019
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