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Organization
PHYSICAL MEDICINE & REHABILITATION MEDICAL SERVICE GROUP
Active
Organization
PHYSICAL MEDICINE & REHABILITATION MEDICAL SERVICE GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT J WEBER MD (CHAIRMAN)
(315) 464-5820
Entity
Organization
Contact information
Practice address
550 HARRISON ST, SUITE 100, SYRACUSE, NY 13202-3188
(315) 464-6312
(315) 464-8524
Mailing address
550 HARRISON ST, SUITE 100, SYRACUSE, NY 13202-3188
(315) 464-6312
(315) 464-8524
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
NULL
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
09/28/2006
Last updated
10/13/2010
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