Provider Demographics
NPI:1376572966
Name:WEBER, ERIC ARNE (MD)
Entity Type:Individual
Prefix:
First Name:ERIC
Middle Name:ARNE
Last Name:WEBER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4950 COMMUNICATION AVE STE 100
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33431-3308
Mailing Address - Country:US
Mailing Address - Phone:561-982-4300
Mailing Address - Fax:
Practice Address - Street 1:349 ROUTE 28 STE A
Practice Address - Street 2:
Practice Address - City:WEST YARMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02673-4620
Practice Address - Country:US
Practice Address - Phone:508-394-2017
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-03
Last Update Date:2024-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA150540207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
043369730OtherFIRST HEALTH
110208477OtherRAILROAD MEDICARE
150540OtherTUFTS
MA3156702Medicaid
65883OtherHARVARD PILGRIM
043369730OtherPRIVATE HEALTHCARE SYSTEM
7884457OtherAETNA
A21467OtherBLUE CROSS
A21467OtherBLUE CROSS
110208477OtherRAILROAD MEDICARE