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Individual

ERNEST H LEBER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
230 N BROAD ST, DREXEL EMERGENCY MED HUH, PHILADELPHIA, PA 19102-1121
(215) 762-7963
(215) 246-5793
Mailing address
1601 CHERRY ST, SUITE 11511, PHILADELPHIA, PA 19102-1321
(215) 255-7822
(215) 255-7825

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD072306L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000922938
HIGHMARK BLUE SIELD
PA
05
001844809
PA
01
0018448090004
PROMISE
01
0867932000
KEYSTONE
PA
01
30049402
KEYSTONE MERCY
PA
Enumeration date
06/14/2006
Last updated
04/25/2008
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