Individual
DR. SHELLEY NAN WEINER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
127 GADWALL LN, DURHAM, NC 27703-8377
(914) 327-9806
Mailing address
127 GADWALL LN, DURHAM, NC 27703-8377
(914) 327-9806
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
116616-1
NY
Other
Enumeration date
08/19/2008
Last updated
11/05/2016
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