1841356979 NPI number — PROF. MARCIA LOIS WEINSTEIN STEINBROOK PHD

Table of content: PROF. MARCIA LOIS WEINSTEIN STEINBROOK PHD (NPI 1841356979)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1841356979 NPI number — PROF. MARCIA LOIS WEINSTEIN STEINBROOK PHD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
WEINSTEIN STEINBROOK
Provider First Name:
MARCIA
Provider Middle Name:
LOIS
Provider Name Prefix Text:
PROF.
Provider Name Suffix Text:
Provider Credential Text:
PHD
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
WEINSTEIN
Provider Other First Name:
MARCIA
Provider Other Middle Name:
LOIS
Provider Other Name Prefix Text:
PROF.
Provider Other Name Suffix Text:
Provider Other Credential Text:
PHD
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1841356979
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
05/27/2018
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
47 CRESTWOOD RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MARBLEHEAD
Provider Business Mailing Address State Name:
MA
Provider Business Mailing Address Postal Code:
01945-1252
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
978-500-4810
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
47 CRESTWOOD RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MARBLEHEAD
Provider Business Practice Location Address State Name:
MA
Provider Business Practice Location Address Postal Code:
01945
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
978-500-4810
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
01/01/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 103TC2200X , with the licence number:  2820 , registered in the state of MA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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