Provider Demographics
NPI:1922099514
Name:WEBBER, GARY A (DC)
Entity Type:Individual
Prefix:DR
First Name:GARY
Middle Name:A
Last Name:WEBBER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 ABERDEEN RD
Mailing Address - Street 2:
Mailing Address - City:FRAMINGHAM
Mailing Address - State:MA
Mailing Address - Zip Code:01702-6005
Mailing Address - Country:US
Mailing Address - Phone:508-879-3919
Mailing Address - Fax:508-620-5926
Practice Address - Street 1:10 ABERDEEN RD
Practice Address - Street 2:
Practice Address - City:FRAMINGHAM
Practice Address - State:MA
Practice Address - Zip Code:01702-6005
Practice Address - Country:US
Practice Address - Phone:508-879-3919
Practice Address - Fax:508-620-5926
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-02
Last Update Date:2011-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1072111NX0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NX0800XChiropractic ProvidersChiropractorOrthopedic