Individual
JOSEPH J MAYBERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
105 HUNTINGWOOD DR, LANCASTER, PA 17602-1390
(717) 464-4099
Mailing address
105 HUNTINGWOOD DR, LANCASTER, PA 17602-1390
(717) 951-4054
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
OS003136L
PA
207PE0005X
Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
Primary
OS003136L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000683795 0010
—
PA
Enumeration date
02/08/2006
Last updated
12/26/2019
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