Healthcare Provider Details

I. General information

NPI: 1710583893
Provider Name (Legal Business Name): TAMAR M WEINSWEIG NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/05/2020
Last Update Date: 12/05/2023
Certification Date: 12/05/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14345 SUMMIT VIEW LN
ROCKVILLE MD
20850-3849
US

IV. Provider business mailing address

14345 SUMMIT VIEW LN
ROCKVILLE MD
20850-3849
US

V. Phone/Fax

Practice location:
  • Phone: 301-221-9804
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License NumberR217801
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: