MEDICARE: DR. ANTHONY EDWARD WEBBER 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	207X00000X	Orthopaedic Surgery Physician	48454	MD

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
2	700786	OTHER	MA	TUFTS
3	E05584	OTHER	MA	BCBS

General Provider Information

NPI Number	:	1225019466
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANTHONY EDWARD WEBBER MD

Provider Business Mailing Address
First Line	:	1153 CENTRE ST
Second Line	:	STE 54
City	:	JAMAICA PLAIN
State	:	MA
Zip	:	02130-3446
Country	:	US
Telephone Number	:	617-522-1734
Fax Number	:	617-522-8325

Provider Business Practice Location Address
First Line	:	1153 CENTRE ST
Second Line	:	STE 54
City	:	JAMAICA PLAIN
State	:	MA
Zip	:	02130-3446
Country	:	US
Telephone Number	:	617-522-1734
Fax Number	:	617-522-8325

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

Provider Enumeration Date	:	11/07/2005
Last Update Date	:	11/01/2010

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