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Individual

DR. JEANINE P WIENER-KRONISH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
55 FRUIT ST., GRAY BIGELOW 444, BOSTON, MA 02114-2696
(617) 726-3030
(617) 726-3032
Mailing address
PO BOX 9142, CHARLESTOWN, MA 02129-9142
(617) 724-0287
(617) 726-2894

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
234658
MA
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
Primary
G35428
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00G354280
CA
Enumeration date
04/14/2006
Last updated
12/22/2014
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