Individual
DR. JEREMY PAUL WEINER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5601 LOCH RAVEN BLVD, POB #100, BALTIMORE, MD 21239-2905
(410) 323-9210
(410) 323-9525
Mailing address
2400 VELVET RIDGE DR, OWINGS MILLS, MD 21117-3030
(410) 323-9210
(410) 323-9525
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
D0032984
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9355006 00
—
MD
Enumeration date
08/23/2005
Last updated
07/08/2007
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