Healthcare Provider Details

I. General information

NPI: 1033301023
Provider Name (Legal Business Name): JOHN C WERBER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/14/2007
Last Update Date: 12/21/2023
Certification Date: 12/21/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

331 N YORK RD STE C
HATBORO PA
19040-2033
US

IV. Provider business mailing address

331 N YORK RD BUILDING C
HATBORO PA
19040-2033
US

V. Phone/Fax

Practice location:
  • Phone: 215-672-5260
  • Fax: 215-672-5287
Mailing address:
  • Phone: 215-672-5260
  • Fax: 215-672-5287

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License NumberMD438923
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License NumberME106820
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License Number169866
License Number StateNY
# 4
Primary TaxonomyN
Taxonomy Code207NS0135X
TaxonomyProcedural Dermatology Physician
License Number169866
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: