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Individual

JASON A WEBER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RPT

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
13287
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0331660
MEDICAID/WELFARE
MA
01
0331660
MEDICAID/WELFARE
05
0331660
MA
01
042472266
ONE HEALTH PLAN
01
2779432
CIGNA HEALTH PLAN
01
2779432001
CIGNA PAL ID (REFERRAL #)
01
35481155
CIGNA HEALTHSOURCE
01
48327
FALLON COMMUNITY HEALTH P
01
650019549
RAILROAD MEDICARE
01
7292628
AETNA/US HEALTHCARE
01
785967
MVP HEALTH CARE
01
AA4052
HARVARD PILGRIM HEALTHCAR
01
Y67944
BLUE CARE ELECT
01
Y68672
MEDICARE B
Enumeration date
01/18/2006
Last updated
03/04/2009
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