Individual
DR. THOMAS M EBERSOLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1040 REED AVE, WYOMISSING, PA 19610-2029
(610) 898-7040
(610) 376-8239
Mailing address
PO BOX 13579, READING, PA 19612-3579
(610) 372-8044
(484) 334-7026
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD0362005L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000677107
—
PA
Enumeration date
06/13/2006
Last updated
07/12/2018
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