Organization
ATLANTIC THORACIC, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FRED WEBER MD (OWNER)
(609) 927-7300
Entity
Organization
Contact information
Practice address
10 W CONNECTICUT AVE, SOMERS POINT, NJ 08244-1975
(609) 927-7300
Mailing address
PO BOX 111, SOMERS POINT, NJ 08244-0111
(609) 927-7300
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MA03153800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060008678
RAILROAD MEDICARE
NJ
05
—
3420701
—
NJ
Enumeration date
06/12/2006
Last updated
12/13/2011
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