Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RG0300X | Geriatric Medicine | MD064602L | PA |
NPI | 1023084472 |
---|---|
Provider Name | Debra Weiner |
First Address | Pittsburgh, PA 15206-3721 |
Second Address | Pittsburgh, PA 15206-3721 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/02/2006 |
Last Update Date | 25/03/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
E42915 | (02) | PA |