Provider Demographics
NPI:1841407962
Name:VIENER ORTHOPEDICS, P.A.
Entity Type:Organization
Organization Name:VIENER ORTHOPEDICS, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:STEPHEN
Authorized Official - Last Name:VIENER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:301-776-7000
Mailing Address - Street 1:7350 VAN DUSEN RD
Mailing Address - Street 2:SUITE 110
Mailing Address - City:LAUREL
Mailing Address - State:MD
Mailing Address - Zip Code:20707-5263
Mailing Address - Country:US
Mailing Address - Phone:301-776-7000
Mailing Address - Fax:301-498-5025
Practice Address - Street 1:7350 VAN DUSEN RD
Practice Address - Street 2:SUITE 110
Practice Address - City:LAUREL
Practice Address - State:MD
Practice Address - Zip Code:20707-5263
Practice Address - Country:US
Practice Address - Phone:301-776-7000
Practice Address - Fax:301-498-5025
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-17
Last Update Date:2008-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD22108207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC092526Medicare PIN