Doctor Name: | FAITH ANN WEIDNER |
NPI Number: | 1174505671 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | 021987 |
Business Practice Address: | 421 N Main St Va Medical Center Leeds, MA - 010539764 |
Business Phone Number: | 4135844040 |
Business Fax Number: | 4135823054 |
Mailing Address: | 421 N Main St, Va Medical Center LEEDS |
State: | MA |
Postal Code: | 010539764 |
Phone Number: | 4135844040 |
Fax Number: | 4135823054 |
NPI Enumeration Date: | 11/18/2005 |
NPI Last Update Date: | 12/01/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085R0202X |
License Number: | 021987 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CT |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Diagnostic Radiology |
Taxonomy Definition: | A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |