Provider Demographics
NPI:1013072271
Name:WEINSTEIN MAYER, SHERRY J (MD)
Entity Type:Individual
Prefix:DR
First Name:SHERRY
Middle Name:J
Last Name:WEINSTEIN MAYER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2101 E JEFFERSON ST
Mailing Address - Street 2:KAISER PERMANENTE MEDICARE ENROLLMENT
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20852-4908
Mailing Address - Country:US
Mailing Address - Phone:301-816-6660
Mailing Address - Fax:301-816-6308
Practice Address - Street 1:10 HOPKINS PLZ
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21201-2900
Practice Address - Country:US
Practice Address - Phone:443-263-7300
Practice Address - Fax:443-263-7343
Is Sole Proprietor?:No
Enumeration Date:2006-12-27
Last Update Date:2022-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD57748207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
S883G257Medicare ID - Type Unspecified
E19267Medicare UPIN
K679N649Medicare ID - Type Unspecified