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NPI Code Detail

MEDICARE: CYNTHIA E WEBER

MEDICARE:   CYNTHIA E WEBER
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
1208600000XSurgery Physician125056615IL
2208600000XSurgery Physician300793-01NY
3208600000XSurgery Physician35.133945OH
4208600000XSurgery Physician66644WI
5208600000XSurgery Physician25MA10686400NJ

Other Identifiers

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

General Provider Information

NPI Number : 1174750889
Entity Type Code : Individual
Provider Name (Legal Business Name) : CYNTHIA E WEBER
Provider Business Mailing Address
First Line : 1680 ROUTE 23 STE 180
Second Line :
City : WAYNE
State : NJ
Zip : 07470-7522
Country : US
Telephone Number : 800-633-8446
Fax Number : 414-454-0152
Provider Business Practice Location Address
First Line : 1680 ROUTE 23 STE 180
Second Line :
City : WAYNE
State : NJ
Zip : 07470-7522
Country : US
Telephone Number : 800-633-8446
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/19/2009
Last Update Date : 09/16/2020

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Directions to “ CYNTHIA E WEBER ” Practice Location

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