Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0103X | Foot & Ankle Surgery | SC001363L | PA |
NPI | 1093713588 |
---|---|
Provider Name | Dr. Robert B Weber |
First Address | Trappe, PA 19426-2034 |
Second Address | Trappe, PA 19426-2034 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/07/2005 |
Last Update Date | 13/10/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
T27181 | (02) | PA |