Doctor Name: | DR. CHARLES H WEEBER |
NPI Number: | 1861481715 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 30247 |
Business Practice Address: | 31 Hall Dr Amherst Medical Center Amherst, MA - 010022751 |
Business Phone Number: | 4132568561 |
Business Fax Number: | 4132564421 |
Mailing Address: | Po Box 8019, SPRINGFIELD |
State: | MA |
Postal Code: | 011028000 |
Phone Number: | 8664314077 |
Fax Number: | 4137747448 |
NPI Enumeration Date: | 10/13/2005 |
NPI Last Update Date: | 06/17/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 30247 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |