Individual
DR. DAVID H. WIENER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
925 CHESTNUT ST, MEZZANINE FLOOR, PHILADELPHIA, PA 19107-4216
(215) 955-5050
(215) 955-7499
Mailing address
615 CHESTNUT ST, 14TH FLOOR, CENTRAL ENROLLMENT, PHILADELPHIA, PA 19106-4404
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD028022E
PA
207RC0000X
Cardiovascular Disease Physician
Primary
MD-028022-E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000980987
—
PA
05
—
6008704
—
NJ
Enumeration date
07/26/2006
Last updated
06/13/2011
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