Provider Demographics
NPI:1861481715
Name:WEEBER, CHARLES H III (MD)
Entity Type:Individual
Prefix:DR
First Name:CHARLES
Middle Name:H
Last Name:WEEBER
Suffix:III
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:PO BOX 8019
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01102-8000
Mailing Address - Country:US
Mailing Address - Phone:866-431-4077
Mailing Address - Fax:413-774-7448
Practice Address - Street 1:31 HALL DR
Practice Address - Street 2:AMHERST MEDICAL CENTER
Practice Address - City:AMHERST
Practice Address - State:MA
Practice Address - Zip Code:01002-2751
Practice Address - Country:US
Practice Address - Phone:413-256-8561
Practice Address - Fax:413-256-4421
Is Sole Proprietor?:No
Enumeration Date:2005-10-13
Last Update Date:2008-06-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA30247208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAH15014OtherBLUE CROSS BLUE SHIELD-MA
MA2357592OtherAETNA
MA24210OtherHEALTH NEW ENGLAND
MA1294774OtherFALLON
MA0191582Medicaid
030247-7879OtherCONNECTICARE
MAC57084OtherHARVARD PILGRIM HEALTH CARE
MA000000008368OtherBMC
MA102778OtherCIGNA
MA2155349 04OtherUNITED HEALTH CARE
MA102778OtherCIGNA
MAH15014Medicare PIN