Organization
CLINICA MEDICINA PRIMARIA DE RISING SUN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH K. WEIDNER JR. MD (PRESIDENT)
(443) 350-0989
Entity
Organization
Contact information
Practice address
101 COLONIAL WAY STE A, RISING SUN, MD 21911-2272
(443) 350-0989
Mailing address
101 COLONIAL WAY STE A, RISING SUN, MD 21911-2272
(443) 350-0989
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
11/24/2020
Last updated
11/24/2020
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