Individual
PETER REIST EBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3400 SPRUCE STREET, PHILADELPHIA, PA 19104-4206
(206) 384-1664
(206) 515-5886
Mailing address
3737 MARKET ST, 7TH FL., PHILADELPHIA, PA 19104
(206) 384-1664
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
25MA12101200
NJ
2085R0202X
Diagnostic Radiology Physician
Primary
MD482330
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0272895
DEPT OF LABOR AND INDUSTRIES
WA
01
—
263330
INTERNAL ID-MOTOR VEHICLE ID
—
05
—
8395998
—
WA
01
—
P00898818
RAILROAD MEDICARE
WA
Enumeration date
10/27/2006
Last updated
10/31/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us