Healthcare Provider Details

I. General information

NPI: 1730354226
Provider Name (Legal Business Name): JOSHUA AARON WEINER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/25/2008
Last Update Date: 04/25/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2009 14TH ST N SUITE 602
ARLINGTON VA
22201-2523
US

IV. Provider business mailing address

2009 14TH ST N SUITE 602
ARLINGTON VA
22201-2523
US

V. Phone/Fax

Practice location:
  • Phone: 703-875-2270
  • Fax: 703-875-2271
Mailing address:
  • Phone: 703-875-2270
  • Fax: 703-875-2271

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number0101226882
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License Number0101226882
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: