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Individual

DR. EBONY REBECCA ALSTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
9105 FRANKLIN SQUARE DR STE 209, BALTIMORE, MD 21237-3958
(410) 574-1330
(410) 574-2691
Mailing address
9105 FRANKLIN SQUARE DR STE 209, BALTIMORE, MD 21237-3958
(410) 574-1330

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
25MA10191500
NJ
207RC0000X
Cardiovascular Disease Physician
Primary
D0086624
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0581721
NJ
Enumeration date
04/11/2011
Last updated
03/05/2019
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