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Individual

DR. JEANETTE MARIE EBARB

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
111 S FRONT ST, HARRISBURG, PA 17101-2010
(717) 988-0000
(717) 782-5716
Mailing address
409 S 2ND ST, SUITE 2F, HARRISBURG, PA 17104-1612
(717) 988-0000
(717) 782-5716

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
0101241271
VA
207P00000X
Emergency Medicine Physician
Primary
MD442401
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
102621041
PA
Enumeration date
02/20/2007
Last updated
12/12/2020
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