Individual
MR. JONATHAN MERRITT WEBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
55 LOCK STREET, YNH MEDICAL SERVICES PC, NEW HAVEN, CT 06520-8237
(203) 432-0076
(203) 432-7289
Mailing address
PO BOX 208237, 55 LOCK STREET, NEW HAVEN, CT 06520-8237
(203) 432-0076
(203) 432-7289
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
000559
CT
363AM0700X
Medical Physician Assistant
000821
CT
Other
Enumeration date
03/23/2007
Last updated
04/20/2011
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