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NPI Code Detail

MEDICARE: DR. JOSEPH KERN WEIDNER JR. M.D.

MEDICARE:  DR. JOSEPH KERN WEIDNER JR. M.D.
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
1207Q00000XFamily Medicine PhysicianD44373MD

General Provider Information

NPI Number : 1659367829
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOSEPH KERN WEIDNER JR. M.D.
Provider Business Mailing Address
First Line : 101 COLONIAL WAY
Second Line : SUITE A
City : RISING SUN
State : MD
Zip : 21911-2283
Country : US
Telephone Number : 410-658-6696
Fax Number : 410-658-4548
Provider Business Practice Location Address
First Line : 101 COLONIAL WAY
Second Line : SUITE A
City : RISING SUN
State : MD
Zip : 21911-2283
Country : US
Telephone Number : 410-658-6696
Fax Number : 410-658-4548
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/23/2005
Last Update Date : 09/09/2025

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Directions to “ DR. JOSEPH KERN WEIDNER JR. M.D.” Practice Location

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