Provider Demographics
NPI:1871069716
Name:WEINGARTEN, ARTHUR JAY
Entity type:Individual
Prefix:MR
First Name:ARTHUR
Middle Name:JAY
Last Name:WEINGARTEN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 VERNDALE RD
Mailing Address - Street 2:
Mailing Address - City:MILTON
Mailing Address - State:MA
Mailing Address - Zip Code:02186-1413
Mailing Address - Country:US
Mailing Address - Phone:617-797-2145
Mailing Address - Fax:
Practice Address - Street 1:5 VERNDALE RD
Practice Address - Street 2:
Practice Address - City:MILTON
Practice Address - State:MA
Practice Address - Zip Code:02186-1413
Practice Address - Country:US
Practice Address - Phone:617-797-2145
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-10-18
Last Update Date:2018-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1053751041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical