Provider Demographics
NPI:1225167323
Name:HEBERLEIN, URSULA B (MD)
Entity Type:Individual
Prefix:DR
First Name:URSULA
Middle Name:B
Last Name:HEBERLEIN
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:20500 SENECA MEADOWS PKWY
Mailing Address - Street 2:SUITE 2400
Mailing Address - City:GERMANTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:20876-7008
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:20500 SENECA MEADOWS PKWY
Practice Address - Street 2:SUITE 2400
Practice Address - City:GERMANTOWN
Practice Address - State:MD
Practice Address - Zip Code:20876-7008
Practice Address - Country:US
Practice Address - Phone:240-912-2738
Practice Address - Fax:240-912-2739
Is Sole Proprietor?:No
Enumeration Date:2007-03-05
Last Update Date:2013-05-09
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Provider Licenses
StateLicense IDTaxonomies
MDD43369207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
F31925Medicare UPIN