Provider Demographics
NPI:1487648218
Name:WEBER, BARRY J (MD)
Entity Type:Individual
Prefix:DR
First Name:BARRY
Middle Name:J
Last Name:WEBER
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:PO BOX 419430
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02241-9430
Mailing Address - Country:US
Mailing Address - Phone:201-967-8221
Mailing Address - Fax:201-483-2242
Practice Address - Street 1:311 BAY AVE
Practice Address - Street 2:MMG PULMONOLOGY
Practice Address - City:GLEN RIDGE
Practice Address - State:NJ
Practice Address - Zip Code:07028
Practice Address - Country:US
Practice Address - Phone:973-746-7474
Practice Address - Fax:973-743-0265
Is Sole Proprietor?:No
Enumeration Date:2005-09-08
Last Update Date:2020-06-30
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Provider Licenses
StateLicense IDTaxonomies
NJ24140207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ1028538OtherHORIZON NJ HEALTH
NJ221943736OtherUNITED HEALTHCARE
NJ526101OtherAETNA
NJ000596512OtherAPWU HEALTH PLAN
NJ1008200Medicaid
NJ71337OtherEMPIRE BLUE
NJ221943736OtherTHE MAIL HANDLERS BENEFIT
NJ221943736OtherHORIZON BLUE SHIELD
NJ1028538OtherMERCY HEALTH
NJ221943736OtherQUALCARE
NJ221943736OtherPRIVATE HEALTHCARE SYSTEM
NJ221943736-004OtherST BARNABAS HEALTH PLAN
NJ551533OtherAMERIHEALTH
NJCF1767OtherRAIL ROAD MEDICARE
NJP416870OtherOXFORD
NJ023249-1OtherUNIVERSITY HEALTH PLAN
NJ5879335OtherCIGNA
NJF01045OtherHEALTHNET