Individual
MICHAEL RALPH EBERHARDT
Active
Individual
MICHAEL RALPH EBERHARDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, PA-C, LAT, ATC
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
25MP00660700
NJ
363AS0400X
Surgical Physician Assistant
Primary
25MP00660700
NJ
Other
Enumeration date
10/04/2013
Last updated
12/09/2024
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