Provider Demographics
NPI:1528274040
Name:WEINSTEIN, MARK EDWARD (MD)
Entity type:Individual
Prefix:DR
First Name:MARK
Middle Name:EDWARD
Last Name:WEINSTEIN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:PO BOX 95000 LOCK BOX 7685
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19195-0001
Mailing Address - Country:US
Mailing Address - Phone:844-362-1735
Mailing Address - Fax:973-290-7495
Practice Address - Street 1:5 FRANKLIN AVE STE 102
Practice Address - Street 2:
Practice Address - City:BELLEVILLE
Practice Address - State:NJ
Practice Address - Zip Code:07109-3504
Practice Address - Country:US
Practice Address - Phone:973-759-5842
Practice Address - Fax:973-759-0403
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-14
Last Update Date:2025-05-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA08190500208000000X, 207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & Immunology
No208000000XAllopathic & Osteopathic PhysiciansPediatrics