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NPI Code Detail

MEDICARE: DR. CHARLES H WEEBER III MD

MEDICARE: DR. CHARLES H WEEBER III 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
1208D00000XGeneral Practice Physician30247MA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1H15014OTHERMABLUE CROSS BLUE SHIELD-MA
22357592OTHERMAAETNA
324210OTHERMAHEALTH NEW ENGLAND
41294774OTHERMAFALLON
5MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6030247-7879OTHERCONNECTICARE
7C57084OTHERMAHARVARD PILGRIM HEALTH CARE
8000000008368OTHERMABMC
9102778OTHERMACIGNA
102155349 04OTHERMAUNITED HEALTH CARE

General Provider Information

NPI Number : 1861481715
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CHARLES H WEEBER III MD
Provider Business Mailing Address
First Line : PO BOX 8019
Second Line :
City : SPRINGFIELD
State : MA
Zip : 01102-8000
Country : US
Telephone Number : 866-431-4077
Fax Number : 413-774-7448
Provider Business Practice Location Address
First Line : 31 HALL DR
Second Line : AMHERST MEDICAL CENTER
City : AMHERST
State : MA
Zip : 01002-2751
Country : US
Telephone Number : 413-256-8561
Fax Number : 413-256-4421
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/13/2005
Last Update Date : 06/17/2008

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Directions to “ DR. CHARLES H WEEBER III MD” Practice Location

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