Individual
DR. GREGORY E WELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
500 UNIVERSITY DR, HERSHEY, PA 17033-2360
(717) 531-6597
(717) 531-7790
Mailing address
PO BOX 858, MC A410, HERSHEY, PA 17033-0858
(800) 243-1455
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD436578
PA
207L00000X
Anesthesiology Physician
MT186664
PA
207LP2900X
Pain Medicine (Anesthesiology) Physician
MD436578
PA
207LP3000X
Pediatric Anesthesiology Physician
MD436578
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1025093190001
—
PA
Enumeration date
12/14/2006
Last updated
01/30/2020
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