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Individual

MARC E WEBER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
18045 GEORGIA AVE, OLNEY, MD 20832-2237
(888) 808-6483
Mailing address
PO BOX 6390, ANNAPOLIS, MD 21401-0390

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
28582
SC
208000000X
Pediatrics Physician
Primary
D70060
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
188569
MEDCOST
SC
05
285827
SC
01
4040854
AETNA
SC
Enumeration date
04/14/2006
Last updated
10/21/2013
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