MEDICARE: EMMA WEEDING MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RR0500X	Rheumatology Physician	D93731	MD

General Provider Information

NPI Number	:	1841649423
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EMMA WEEDING MD

Provider Business Mailing Address
First Line	:	1655 CROFTON BLVD STE 101
Second Line	:
City	:	CROFTON
State	:	MD
Zip	:	21114-1342
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1655 CROFTON BLVD STE 101
Second Line	:
City	:	CROFTON
State	:	MD
Zip	:	21114-1342
Country	:	US
Telephone Number	:	443-292-4872
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/06/2016
Last Update Date	:	09/25/2022

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