Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RN0300X | Nephrologist | MD-034935-E | PA |
NPI | 1073565263 |
---|---|
Provider Name | Dr. Marc H Weiner |
First Address | Lancaster, PA 17604-3200 |
Second Address | Lancaster, PA 17604-3200 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/05/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1053770 | (05) | PA |
E21952 | (02) | PA |