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Individual

JASON MEADE WEBER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
702 RUSSELL AVENUE, SUITE 103, GAITHERSBURG, MD 20877-2606
(301) 948-3668
(301) 926-7787
Mailing address
702 RUSSELL AVENUE, SUITE 103, GAITHERSBURG, MD 20877-2606
(301) 948-3668
(301) 926-7787

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
01365
MD
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
01365
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
409152300
MD
Enumeration date
12/14/2006
Last updated
04/07/2016
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