Provider Demographics
NPI:1528093879
Name:WEINSTEIN, ALAN S (MD)
Entity type:Individual
Prefix:
First Name:ALAN
Middle Name:S
Last Name:WEINSTEIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:175 MADISON AVE
Mailing Address - Street 2:4TH FLOOR STOKES BUILDING VIRTUA MEMORIAL HOSPITAL
Mailing Address - City:MOUNT HOLLY
Mailing Address - State:NJ
Mailing Address - Zip Code:08060-2038
Mailing Address - Country:US
Mailing Address - Phone:609-702-1900
Mailing Address - Fax:609-702-8455
Practice Address - Street 1:175 MADISON AVE
Practice Address - Street 2:4TH FLOOR STOKES BUILDING VIRTUA MEMORIAL HOSPITAL
Practice Address - City:MOUNT HOLLY
Practice Address - State:NJ
Practice Address - Zip Code:08060-2038
Practice Address - Country:US
Practice Address - Phone:609-702-1900
Practice Address - Fax:609-702-8455
Is Sole Proprietor?:No
Enumeration Date:2006-07-12
Last Update Date:2009-10-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJMA036095207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ1776100Medicaid
110046926OtherRAILROAD MEDICARE
16517OtherAETNA
NJ1776100Medicaid
048848CWYMedicare ID - Type Unspecified