Individual
DR. CARL ELLENBERGER JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
96 BIRCH AVE, MOUNT GRETNA, PA 17064-0070
(717) 964-3885
(717) 964-3885
Mailing address
PO BOX 70, 96 BIRCH AV, MOUNT GRETNA, PA 17064-0070
(717) 964-3885
(717) 964-3885
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
G 18787
CA
Other
Enumeration date
01/21/2009
Last updated
01/21/2009
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