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Individual

JAN RICHARD WEBER

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1600 HADDON AVE, CAMDEN, NJ 08103
(856) 365-4072
(856) 580-6312
Mailing address
1600 HADDON AVE, CAMDEN, NJ 08103
(856) 365-4072
(856) 580-6312

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
25MA03360600
NJ
207RC0000X
Cardiovascular Disease Physician
MD017208E
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3786005
NJ
Enumeration date
04/18/2006
Last updated
07/08/2007
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