Individual
DR. MATTHEW T EBLING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
250 COLLEGE AVE, LANCASTER, PA 17603
(717) 988-0000
(717) 782-5716
Mailing address
409 S 2ND ST STE 2F, HARRISBURG, PA 17104-1612
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
273809
NY
207P00000X
Emergency Medicine Physician
MD427961
PA
207QA0000X
Adolescent Medicine (Family Medicine) Physician
Primary
MD427961
PA
208M00000X
Hospitalist Physician
MD427961
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101785415 0002
—
PA
05
—
1017854150005
—
PA
01
—
11663202
CAQH
PA
01
—
867633
GROUP MEDICARE #
PA
01
—
MD427961
MEDICAL LICENSE
PA
Enumeration date
05/12/2006
Last updated
03/07/2023
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