Individual
CONSTANTA T EBRO-PROKESH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1137 W PENN AVE, WOMELSDORF, PA 19567-9770
(610) 589-2555
(610) 589-4940
Mailing address
PO BOX 13579, READING, PA 19612-3579
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OSO14851
PA
Other
Enumeration date
04/07/2010
Last updated
05/06/2016
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