MEDICARE: DR. CHARLES ALFRED WEBER MD

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
1	207RR0500X	Rheumatology Physician	25MA04284800	NJ

Other Identifiers

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

General Provider Information

NPI Number	:	1144213042
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHARLES ALFRED WEBER MD

Provider Business Mailing Address
First Line	:	3350 HWY 138
Second Line	:	STE 115
City	:	WALL TOWNSHIP
State	:	NJ
Zip	:	07719-9694
Country	:	US
Telephone Number	:	732-988-5030
Fax Number	:	732-988-5301

Provider Business Practice Location Address
First Line	:	3350 HWY 138
Second Line	:	STE 115
City	:	WALL TOWNSHIP
State	:	NJ
Zip	:	07719-9694
Country	:	US
Telephone Number	:	732-988-5030
Fax Number	:	732-988-5301

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/25/2005
Last Update Date	:	01/26/2019

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Directions to “ DR. CHARLES ALFRED WEBER MD” Practice Location

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