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Organization
CLINICA MEDICINA PRIMARIA DE RISING SUN
Active
Organization
CLINICA MEDICINA PRIMARIA DE RISING SUN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH K. WEIDNER JR. MD (PRESIDENT)
(443) 350-0989
Entity
Organization
Contact information
Practice address
101 COLONIAL WAY STE A, RISING SUN, MD 21911-2272
(443) 350-0989
Mailing address
101 COLONIAL WAY STE A, RISING SUN, MD 21911-2272
(443) 350-0989
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
11/24/2020
Last updated
11/24/2020
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