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NPI Code Detail

MEDICARE: WEITONG MU MD, PHD

MEDICARE: WEITONG MU MD, PHD
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
1207RG0100XGastroenterology PhysicianD0062070MD

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1194786624
Entity Type Code : Individual
Provider Name (Legal Business Name) : WEITONG MU MD, PHD
Provider Business Mailing Address
First Line : 100 WALTER WARD BLVD STE 100
Second Line :
City : ABINGDON
State : MD
Zip : 21009-1283
Country : US
Telephone Number : 443-643-4700
Fax Number : 443-643-4707
Provider Business Practice Location Address
First Line : 100 WALTER WARD BLVD STE 100
Second Line :
City : ABINGDON
State : MD
Zip : 21009-1283
Country : US
Telephone Number : 443-643-4700
Fax Number : 443-643-4707
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/01/2006
Last Update Date : 10/12/2020

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