Individual
RENDA S. WIENER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, MPH
Contact information
Practice address
1400 VFW PKWY, BOSTON, MA 02132-4927
(617) 323-7700
Mailing address
1400 VFW PKWY, BOSTON, MA 02132-4927
(857) 404-3339
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
217069
MA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
13476
NH
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
217069
MA
207RP1001X
Pulmonary Disease Physician
13476
NH
207RP1001X
Pulmonary Disease Physician
Primary
217069
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110083047A
—
MA
Enumeration date
07/04/2006
Last updated
06/14/2023
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