Individual provider · Type 1 NPI

Maxwell Ethan Weiner, PA-C

Medical Physician Assistant · Baltimore, MD

NPI number 1679149918 Active

Practice location

201 E University Pkwy
Baltimore, MD 21218-2829

Call (410) 554-2000 Map

Mailing address

124 Ellington Blvd Apt 533
Gaithersburg, MD 20878-4573

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XC0007949 (MD)

Medical Physician Assistant: Definition to come...

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About NPI 1679149918

Maxwell Ethan Weiner, PA-C's National Provider Identifier is 1679149918, issued on May 27, 2021. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Baltimore, MD. The record was last updated on May 27, 2021.