Provider Demographics
NPI:1356382618
Name:WEBER, ALLAN ARTHUR (MD)
Entity type:Individual
Prefix:DR
First Name:ALLAN
Middle Name:ARTHUR
Last Name:WEBER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:ALLAN
Other - Middle Name:ARTHUR
Other - Last Name:WEBER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:1569 MEDICAL DR
Mailing Address - Street 2:SUITE 201
Mailing Address - City:POTTSTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19464-3223
Mailing Address - Country:US
Mailing Address - Phone:484-945-7643
Mailing Address - Fax:484-945-0781
Practice Address - Street 1:1569 MEDICAL DR
Practice Address - Street 2:SUITE 202
Practice Address - City:POTTSTOWN
Practice Address - State:PA
Practice Address - Zip Code:19464-3223
Practice Address - Country:US
Practice Address - Phone:484-945-7643
Practice Address - Fax:484-945-0781
Is Sole Proprietor?:No
Enumeration Date:2006-06-09
Last Update Date:2019-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD072338L174400000X, 2084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA045971NWEMedicare ID - Type UnspecifiedMEDICARE
045971D8PMedicare PIN