Individual
RONALD G EBB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
50 MEMORIAL DRIVE, SUITE 108, LEOMINSTER, MA 01453
(978) 466-2280
(978) 466-2282
Mailing address
50 MEMORIAL DRIVE, SUITE 108, LEOMINSTER, MA 01453
(978) 466-2280
(978) 466-2282
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
212873
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1098412
AETNA
—
01
—
1287640
CIGNA
—
05
—
2110717
—
MA
01
—
478740
TUFTS
—
01
—
94135
FALLON
—
01
—
A3848701
MEDICARE
—
01
—
J29210
BLUE CROSS
—
Enumeration date
06/10/2006
Last updated
02/18/2011
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