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NPI Code Detail

MEDICARE: DR. CHARLES ARTHUR WEBER M.D.

MEDICARE:  DR. CHARLES ARTHUR WEBER  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12080A0000XPediatric Adolescent Medicine Physician35056985OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2WE0711171OTHEROHPIN#

General Provider Information

NPI Number : 1013047695
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CHARLES ARTHUR WEBER M.D.
Provider Business Mailing Address
First Line : 34100 CENTER RIDGE RD
Second Line : SUITE 107
City : NORTH RIDGEVILLE
State : OH
Zip : 44039-5311
Country : US
Telephone Number : 440-327-1000
Fax Number : 440-793-9950
Provider Business Practice Location Address
First Line : 34100 CENTER RIDGE RD
Second Line : SUITE 107
City : NORTH RIDGEVILLE
State : OH
Zip : 44039-5311
Country : US
Telephone Number : 440-327-1000
Fax Number : 440-793-9950
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/06/2007
Last Update Date : 03/28/2014

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