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Individual

DR. SANDRA B. WEIBEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
834 CHESTNUT ST, SUITE 650, PHILADELPHIA, PA 19107-5127
(215) 955-5161
(215) 955-6003
Mailing address
834 WALNUT ST, SUITE 650, PHILADELPHIA, PA 19107-5109

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD041683E
PA
207RI0001X
Clinical & Laboratory Immunology (Internal Medicine) Physician
MD041683E
PA
207RP1001X
Pulmonary Disease Physician
Primary
MD041683E
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001279294
PA
05
6775705
NJ
Enumeration date
07/25/2006
Last updated
03/24/2015
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