Individual
JOSEPH MEYER EBERSOLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114-2696
(418) 461-7724
Mailing address
57 N WASHINGTON ST STE 4D, BOSTON, MA 02114-1937
(513) 490-7394
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
94588
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/19/2019
Last updated
01/31/2023
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