Individual
DR. DAVID HENRY EBB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
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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