Organization
DARBY MEDICAL ASSOCIATES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CELSUS IEGBEOJAI EBBA M.D (MEDICAL DIRECTOR)
(610) 461-2440
Entity
Organization
Contact information
Practice address
869 MAIN ST, DARBY, PA 19023-2105
(610) 461-2440
(610) 461-2475
Mailing address
869 MAIN ST, DARBY, PA 19023-2105
(610) 461-2440
(610) 461-2475
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
MD047028L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
040478
AETNA
PA
01
—
0509677001
KEYSTONE
PA
01
—
737499
AETNA
PA
Enumeration date
05/14/2007
Last updated
11/07/2012
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