Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207N00000X | Dermatologist | 169866 | NY |
N | 207NS0135X | Procedural Dermatology | 169866 | NY |
NPI | 1033301023 |
---|---|
Provider Name | John C Werber |
First Address | Hatboro, PA 19040-2033 |
Second Address | Bensalem, PA 19020-2029 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/08/2007 |
Last Update Date | 13/08/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
F01654 | (02) | NY |