Individual
JASON A WEBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPT
Contact information
Practice address
20 SOUTHBRIDGE RD, CHARLTON, MA 01507
(508) 248-4141
(508) 248-4106
Mailing address
630 PLANTATION ST, WORCESTOR, MA 01605
(508) 248-4141
(508) 248-4106
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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