Individual
MR. EBENEZER NETTEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10401 HOSPITAL DRIVE, SUITE 103, CLINTON, MD 20735
(301) 932-8580
Mailing address
10401 HOSPITAL DRIVE, SUITE 103, CLINTON, MD 20735
(301) 856-0334
(301) 856-0709
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
D0036594
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
36594100
—
MD
Enumeration date
01/19/2007
Last updated
02/14/2012
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