Basic Information
| Provider Information | |||||||||
| NPI: | 1336245851 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | WEINTRAUB | ||||||||
| FirstName: | WILLIAM | ||||||||
| MiddleName: | H | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1245 HIGHLAND AVE | ||||||||
| Address2: | STE 305 | ||||||||
| City: | ABINGTON | ||||||||
| State: | PA | ||||||||
| PostalCode: | 190013714 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2154816386 | ||||||||
| FaxNumber: | 2154812159 | ||||||||
| Practice Location | |||||||||
| Address1: | 1245 HIGHLAND AVE | ||||||||
| Address2: | STE 305 | ||||||||
| City: | ABINGTON | ||||||||
| State: | PA | ||||||||
| PostalCode: | 190013714 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2154816386 | ||||||||
| FaxNumber: | 2154812159 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/15/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2086S0120X | MD022431E | PA | Y | Allopathic & Osteopathic Physicians | Surgery | Pediatric Surgery |
No ID Information.