Individual
MRS. AUDREY G. WEITZMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
20528 BOLAND FARM RD, SUITE 104, GERMANTOWN, MD 20876-4021
(301) 972-0400
(301) 916-1453
Mailing address
20528 BOLAND FARM RD, SUITE 104, GERMANTOWN, MD 20876-4021
(301) 972-0400
(301) 916-1453
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C0001937
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA47713
CDS
MD
Enumeration date
02/01/2007
Last updated
03/07/2023
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