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Individual

ERIC WEINTRAUB

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
701 W PRATT ST FL 4, BALTIMORE, MD 21201-1023
(410) 328-5881
(410) 328-8552
Mailing address
PO BOX 64515, BALTIMORE, MD 21264-4515
(410) 328-5881

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
D0035607
MD
2084P0800X
Psychiatry Physician
Primary
D0035607
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
079121100
MD
Enumeration date
07/03/2006
Last updated
06/24/2011
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