Provider Demographics
NPI:1184656340
Name:WEBER, ROBERT C (MD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:C
Last Name:WEBER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:522 DELEWARE AVENUE
Mailing Address - Street 2:
Mailing Address - City:BETHLEHEM
Mailing Address - State:PA
Mailing Address - Zip Code:18015
Mailing Address - Country:US
Mailing Address - Phone:610-691-3092
Mailing Address - Fax:610-691-2041
Practice Address - Street 1:522 DELEWARE AVENUE
Practice Address - Street 2:
Practice Address - City:BETHLEHEM
Practice Address - State:PA
Practice Address - Zip Code:18015
Practice Address - Country:US
Practice Address - Phone:610-691-3092
Practice Address - Fax:610-691-2041
Is Sole Proprietor?:No
Enumeration Date:2006-07-07
Last Update Date:2007-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD422118207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA3306585OtherAETNA US HEALTHCARE
PABE1478867OtherHIGHMARK BLUE SHIELD
PA50020153OtherCAPITAL BLUE CROSS
PA20026202OtherAMERIHEALTH MERCY
PA0019734400001Medicaid
PA1535872OtherGATEWAY HEALTH PLAN
PA2169852000OtherINDEPENDENCE BLUE CROSS
PA5741696OtherAETNA
PA50020153OtherCAPITAL BLUE CROSS
PA0019734400001Medicaid