Provider Demographics
NPI:1033301023
Name:WERBER, JOHN C (MD)
Entity type:Individual
Prefix:
First Name:JOHN
Middle Name:C
Last Name:WERBER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:331 N YORK RD
Mailing Address - Street 2:BUILDING C
Mailing Address - City:HATBORO
Mailing Address - State:PA
Mailing Address - Zip Code:19040-2033
Mailing Address - Country:US
Mailing Address - Phone:215-672-5260
Mailing Address - Fax:215-672-5287
Practice Address - Street 1:331 N YORK RD STE C
Practice Address - Street 2:
Practice Address - City:HATBORO
Practice Address - State:PA
Practice Address - Zip Code:19040-2033
Practice Address - Country:US
Practice Address - Phone:215-672-5260
Practice Address - Fax:215-672-5287
Is Sole Proprietor?:No
Enumeration Date:2007-08-14
Last Update Date:2023-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY169866207NS0135X, 207N00000X
PAMD438923207N00000X
FLME106820207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
No207NS0135XAllopathic & Osteopathic PhysiciansDermatologyProcedural Dermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
A400017081Medicare PIN
NYF01654Medicare UPIN