Individual
BRYAN EBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3805 W CHESTER PIKE, BUILDING D, SUITE 120, NEWTOWN SQUARE, PA 19073-2329
(610) 550-3000
(610) 550-3079
Mailing address
3805 W CHESTER PIKE, BUILDING D, SUITE 120, NEWTOWN SQUARE, PA 19073-2329
(610) 550-3000
(610) 550-3079
Taxonomy
Speciality
Code
Description
License number
State
207ZD0900X
Dermatopathology (Pathology) Physician
Primary
235059
NY
207ZP0101X
Anatomic Pathology Physician
235059-1
NY
Other
Enumeration date
04/10/2007
Last updated
06/09/2015
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