Provider Demographics
NPI:1437156726
Name:WEBER, AMY E (MD)
Entity Type:Individual
Prefix:
First Name:AMY
Middle Name:E
Last Name:WEBER
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:4060 BUTLER PIKE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:PLYMOUTH MEETING
Mailing Address - State:PA
Mailing Address - Zip Code:19462-1560
Mailing Address - Country:US
Mailing Address - Phone:215-836-1290
Mailing Address - Fax:215-233-3421
Practice Address - Street 1:4060 BUTLER PIKE
Practice Address - Street 2:SUITE 100
Practice Address - City:PLYMOUTH MEETING
Practice Address - State:PA
Practice Address - Zip Code:19462-1560
Practice Address - Country:US
Practice Address - Phone:215-836-1290
Practice Address - Fax:215-233-3421
Is Sole Proprietor?:No
Enumeration Date:2005-07-01
Last Update Date:2017-05-31
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Provider Licenses
StateLicense IDTaxonomies
PAMD070848L207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0011172400002Medicaid
PAH22928Medicare UPIN
PA0011172400002Medicaid