Clinica Medicina Primaria De Rising Sun

NPI #1598369134 in Rising Sun, Maryland

Provider Information

NPI Number: 1598369134
Entity Type: Organization
Organization Name: Clinica Medicina Primaria De Rising Sun
Primary Specialty: Clinic/Center - Primary Care
Enumeration Date: Nov 24, 2020
Last Updated: Nov 24, 2020

Practice Location

Address: 101 COLONIAL WAY STE A
City: Rising Sun
State: Maryland
ZIP Code: 21911-2272
Phone: (443) 350-0989

Authorized Official

Name: DR. JOSEPH K. WEIDNER JR., MD
Title: PRESIDENT
Phone: (443) 350-0989

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Primary Care — Primary Care	261QP2300X	Primary

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