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Individual

CHARLES N WEBER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
75 FRANCIS ST, ABDOMINAL IMAGING AND INTERVENTION, BOSTON, MA 02115-6110
(617) 732-5500
Mailing address
114 MARLBOROUGH ST, APT BF, BOSTON, MA 02116-1909
(215) 272-2995

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
25MA09722200
NJ
2085R0202X
Diagnostic Radiology Physician
Primary
262519
MA
2085R0202X
Diagnostic Radiology Physician
MD451918
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1609197078
1
MA
Enumeration date
06/19/2010
Last updated
03/28/2016
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