Provider Demographics
NPI:1104914993
Name:WEINGARTEN, JUDITH CAREYN (MD)
Entity type:Individual
Prefix:DR
First Name:JUDITH
Middle Name:CAREYN
Last Name:WEINGARTEN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:1873 S BELLAIRE ST
Mailing Address - Street 2:SUITE 1215
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80222-4358
Mailing Address - Country:US
Mailing Address - Phone:303-691-3509
Mailing Address - Fax:303-758-7268
Practice Address - Street 1:1873 S BELLAIRE ST
Practice Address - Street 2:SUITE 1215
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80222-4358
Practice Address - Country:US
Practice Address - Phone:303-691-3509
Practice Address - Fax:303-758-7268
Is Sole Proprietor?:No
Enumeration Date:2006-10-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO233732084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
D49939Medicare UPIN
CO94621Medicare ID - Type Unspecified