Individual
TAYLOR ANN EBLING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
301 S MAIN RD, VINELAND, NJ 08360-7897
(856) 629-0502
Mailing address
301 S MAIN RD, VINELAND, NJ 08360-7897
(856) 692-0502
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00596500
NJ
363A00000X
Physician Assistant
MA062346
PA
Other
Enumeration date
02/15/2021
Last updated
07/07/2021
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