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Individual

MR. JANE E WEBER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
N.P.

Contact information

Practice address
31 LOWER HUDSON AVE, GREEN ISLAND, NY 12183-1014
(518) 272-9140
Mailing address
53 LIBERTY RD, TROY, NY 12180-9634
(518) 235-8302

Taxonomy

Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
360055
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
P00437138
RAILROAD MEDICARE
NY
Enumeration date
08/21/2006
Last updated
03/04/2008
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