Individual
DR. TED BRUBAKER ESHBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
761 JOHNSONBURG RD, SUITE 310, ST MARYS, PA 15857-3483
(814) 834-1686
(814) 834-6291
Mailing address
761 JOHNSONBURG RD, SUITE 310, ST MARYS, PA 15857-3483
(814) 834-1686
(814) 834-6291
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD016688E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00820642
—
PA
Enumeration date
11/08/2005
Last updated
11/06/2012
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