Individual
LAURA G EBBELING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1 DEACONESS RD, W- CC2, EMERGENCY MEDICINE, BOSTON, MA 02215-5321
(617) 754-2339
Mailing address
330 MOUNT AUBURN ST, CAMBRIDGE, MA 02138-5502
(617) 499-5025
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
261915
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110102900A
—
MA
01
—
S400336268
MEDICARE
MA
Enumeration date
04/20/2012
Last updated
03/07/2025
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