Provider Demographics
NPI:1104960244
Name:VINER, JAYE (MD, MPH)
Entity type:Individual
Prefix:
First Name:JAYE
Middle Name:
Last Name:VINER
Suffix:
Gender:F
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6116 EXECUTIVE BOULEVARD, SUITE 700
Mailing Address - Street 2:
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20892-8345
Mailing Address - Country:US
Mailing Address - Phone:301-594-2925
Mailing Address - Fax:301-402-0181
Practice Address - Street 1:NNMC HEMATOLOGY ONCOLOGY CLINIC
Practice Address - Street 2:8901 WISCONSIN AVENUE, BUILDING 8, 3RD FLOOR
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20889
Practice Address - Country:US
Practice Address - Phone:301-435-5332
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-19
Last Update Date:2007-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD0101058174207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine