Provider Demographics
NPI:1730354226
Name:WEINER, JOSHUA AARON (MD)
Entity type:Individual
Prefix:
First Name:JOSHUA
Middle Name:AARON
Last Name:WEINER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2009 14TH ST N
Mailing Address - Street 2:SUITE 602
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22201-2523
Mailing Address - Country:US
Mailing Address - Phone:703-875-2270
Mailing Address - Fax:703-875-2271
Practice Address - Street 1:2009 14TH ST N
Practice Address - Street 2:SUITE 602
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22201-2523
Practice Address - Country:US
Practice Address - Phone:703-875-2270
Practice Address - Fax:703-875-2271
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-25
Last Update Date:2008-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA01012268822084P0800X, 2084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry