# DR. JENNIFER EILEEN WEBER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1235272899
- **Gender:** F
- **Credential:** D.O.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | OS006445E | PA | Yes |
| 207QA0401X | Addiction Medicine (Family Medicine) Physician | OS006445E | PA | — |
| 207QG0300X | Geriatric Medicine (Family Medicine) Physician | OS006445E | PA | — |

## Other

- **Enumeration date:** 02/14/2007
- **Last updated:** 12/10/2021
