Individual
EBONI BUTLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4311 EASTON AVE, BETHLEHEM, PA 18020-1431
(484) 526-7410
Mailing address
4311 EASTON AVE, BETHLEHEM, PA 18020-1431
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MT231485
PA
Other
Enumeration date
06/06/2024
Last updated
06/06/2024
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