Individual
DR. JORDANA WEBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
252 S 4TH ST FL 3, LEBANON, PA 17042-6111
(717) 270-4876
(717) 270-3875
Mailing address
3421 CONCORD RD, YORK, PA 17402-9001
(717) 851-1405
(717) 851-6969
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
281031
NY
207Q00000X
Family Medicine Physician
Primary
MD458576
PA
208M00000X
Hospitalist Physician
281031
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000426822001
BLUE SHIELD OF NENY
NY
01
—
200314735
CDPHP
NY
01
—
8D5861
EMPIRE BLUE CROSS
NY
Enumeration date
03/02/2012
Last updated
10/19/2017
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