Individual
MARIAH WEBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
800 WASHINGTON ST, BOSTON, MA 02111-1552
(617) 636-5160
Mailing address
363 W 3RD ST # 3, BOSTON, MA 02127-1319
(774) 432-0069
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA4000
MA
Other
Enumeration date
07/23/2010
Last updated
01/19/2016
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