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Individual

JOHN R WEBER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
622 W 168TH ST, NEW YORK, NY 10032-3720
(212) 305-9876
(212) 342-2139
Mailing address
622 W 168TH ST, NEW YORK, NY 10032-3720
(212) 305-9876
(212) 342-2139

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
609171-1
NY
367500000X
Certified Registered Nurse Anesthetist
9165855
FL

Other

Enumeration date
08/01/2006
Last updated
11/16/2009
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