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Individual

FREDERICK L WEBER JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
10600 MONTGOMERY RD, CINCINNATI, OH 45242
(513) 794-5600
(513) 281-1908
Mailing address
PO BOX 633448, CINCINNATI, OH 45263-3448
(513) 853-4706
(513) 853-4743

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
35-046677
OH
207RI0008X
Hepatology Physician
35046677
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0498966
OH
05
200027350
IN
05
64932486
KY
01
P00376153
RAILROAD MEDICARE
OH
Enumeration date
05/04/2006
Last updated
05/17/2018
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