Individual
FAITH ANN WEIDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
421 N MAIN ST, VA MEDICAL CENTER, LEEDS, MA 01053-9764
(413) 584-4040
(413) 582-3054
Mailing address
421 N MAIN ST, VA MEDICAL CENTER, LEEDS, MA 01053-9764
(413) 584-4040
(413) 582-3054
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
021987
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1219874
—
CT
Enumeration date
11/18/2005
Last updated
12/01/2011
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