Basic Information
| Provider Information | |||||||||
| NPI: | 1124686043 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | WEINSTEIN | ||||||||
| FirstName: | JULIAN | ||||||||
| MiddleName: | JOSEPH | ||||||||
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| Credential: | DO | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 8 | ||||||||
| Address2: | |||||||||
| City: | BAR HARBOR | ||||||||
| State: | ME | ||||||||
| PostalCode: | 046090008 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2072885081 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 394 BAR HARBOR RD | ||||||||
| Address2: | |||||||||
| City: | TRENTON | ||||||||
| State: | ME | ||||||||
| PostalCode: | 046055807 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2076675899 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/05/2019 | ||||||||
| LastUpdateDate: | 07/14/2022 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 07/14/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | OT019200 | PA | N | Allopathic & Osteopathic Physicians | Family Medicine | 207Q00000X | DO3361 | ME | Y | Allopathic & Osteopathic Physicians | Family Medicine |
No ID Information.