Doctor Name: | LOUIS MARC WEINER |
NPI Number: | 1205859931 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | MD031312E |
Business Practice Address: | 3970 Reservoir Rd Nw Lccc Georgetown University Medical Center Room E501 Washington, DC - 200072126 |
Business Phone Number: | 2026872110 |
Business Fax Number: | 2026876402 |
Mailing Address: | 3970 Reservoir Rd Nw, Lccc Georgetown University Medical Center Room E501 WASHINGTON |
State: | DC |
Postal Code: | 200072126 |
Phone Number: | 2026872110 |
Fax Number: | 2026876402 |
NPI Enumeration Date: | 07/25/2006 |
NPI Last Update Date: | 08/04/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | MD031312E |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |