Individual
MYRON WEISFELDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
600 N WOLFE ST, BALTIMORE, MD 21287-0005
(410) 955-3116
Mailing address
PO BOX 64250, BALTIMORE, MD 21264-4250
(410) 955-3116
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
D11569
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
712061300
—
MD
Enumeration date
06/22/2006
Last updated
02/20/2013
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