Shoshana Jo Weiner
Internal Medicine in Baltimore, MD. Individual provider (NPI-1).
NPI number1003133299
StatusActive
Last updated in NPPESFeb 4, 2016
Details
- NPI
- 1003133299
- Entity type
- Individual (NPI-1)
- Name
- Shoshana Jo Weiner
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 27, 2010
- Last updated
- Feb 4, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | D75548 | MD | Yes |
| 207R00000X | Internal Medicine | 0101253875 | VA | |
| 207R00000X | Internal Medicine | MD041211 | DC |
Practice location
22 S Greene StBaltimore, MD 21201-1544
Phone 617-214-1332 · Fax 410-328-8326
Mailing address
Po Box 64442Baltimore, MD 21264-4442
Phone 667-214-1332 · Fax 410-328-8326
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