Individual
BENJAMIN WEBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
65 JAMES ST, EDISON, NJ 08820-3947
(732) 321-7000
Mailing address
111 CENTRAL AVE, NEWARK, NJ 07102-1909
(973) 877-5000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MB11885500
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/29/2020
Last updated
01/22/2024
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