Organization Name: | DR. ROBERT B. WEBER, LTD. |
NPI Number: | 1811030539 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ROBERT BRIAN WEBER (PRESIDENT) |
Mailing Address: | 123 W Main St Trappe |
State: | PA US |
Postal Code: | 194262034 |
Phone Number: | 6104892533 |
Fax Number: | 6104892532 |
NPI Enumeration Date: | 02/14/2007 |
NPI Last Update Date: | 04/13/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0103X |
License Number: | SC001363L |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot & Ankle Surgery |
Taxonomy Definition: |