Healthcare Provider Details

I. General information

NPI: 1205463965
Provider Name (Legal Business Name): MATTHEW B. WEBER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/24/2020
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2280 IVY RD
CHARLOTTESVILLE VA
22903-4977
US

IV. Provider business mailing address

1240 LEE ST STE 2401
CHARLOTTESVILLE VA
22908-0817
US

V. Phone/Fax

Practice location:
  • Phone: 434-924-2663
  • Fax:
Mailing address:
  • Phone: 434-243-6297
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207XS0106X
TaxonomyOrthopaedic Hand Surgery Physician
License Number0116034962
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: