Individual
MARTIN EBO DJAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.-C
Contact information
Practice address
ONE CENTURIAN DR, SUITE 310A, NEWARK, DE 19713
(302) 918-6300
(302) 918-6330
Mailing address
ONE CENTURIAN DR, SUITE 310A, NEWARK, DE 19713
(302) 918-6300
(302) 918-6330
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C5-0000499
DE
Other
Enumeration date
04/17/2007
Last updated
02/25/2008
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