Individual
DR. DAVID HENRY EBB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
55 FRUIT ST, YAW 8B, PEDIATRIC HEMATOLGY-ONCOLOGY, BOSTON, MA 02114-2696
(617) 726-2737
(617) 724-0702
Mailing address
PO BOX 9142, CHARLESTOWN, MA 02129-9142
(617) 726-2737
(617) 724-0702
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
77317
MA
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
77317
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3111202
—
MA
01
—
730166
TUFTS HEALTH PLAN
MA
01
—
J13960
BCBS MA
MA
Enumeration date
11/15/2005
Last updated
12/18/2012
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