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Individual
JEFFREY KARLTON WEBER
Active
Individual
JEFFREY KARLTON WEBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD056265L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0015972610005
—
PA
01
—
50051222
CAPITAL BLUE
PA
01
—
5302201
AETNA
—
01
—
610531
BLUE SHIELD
PA
01
—
P002413
GATEWAY
—
01
—
P00255545
RAILROAD MEDICARE
—
Enumeration date
09/06/2006
Last updated
09/05/2012
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