Individual
ELIYAHU WIENER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6815 MAURLEEN RD, BALTIMORE, MD 21209-1422
(410) 499-3799
Mailing address
6300 RED CEDAR PL UNIT 104, BALTIMORE, MD 21209-3841
(410) 499-3799
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
C0008618
MD
363AM0700X
Medical Physician Assistant
—
—
Other
Enumeration date
09/06/2022
Last updated
12/31/2024
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