Weber, Jan Richard

Weber, Jan Richard is an individual health care provider with primary practice located at 1600 Haddon Ave , Camden NJ 08103. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Weber, Jan Richard can be contacted via phone (856) 365-4072.

Contact Information

Primary practice address
1600 Haddon Ave Camden NJ 08103
Fax: (856) 580-6312
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 25MA03360600 New Jersey
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X MD017208E Pennsylvania

Profile Details

NPI number 1093770620
LBN Legal business name Weber, Jan Richard
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 18th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093770620 NPPES
New Jersey MEDICAID 3786005

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