Provider Demographics
NPI:1265629406
Name:EBRON, WILLIAM B
Entity Type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:B
Last Name:EBRON
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:134 EVERGREEN PL
Mailing Address - Street 2:SUITE 701
Mailing Address - City:EAST ORANGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07018-2011
Mailing Address - Country:US
Mailing Address - Phone:973-395-0215
Mailing Address - Fax:973-395-0217
Practice Address - Street 1:134 EVERGREEN PL
Practice Address - Street 2:SUITE 701
Practice Address - City:EAST ORANGE
Practice Address - State:NJ
Practice Address - Zip Code:07018-2011
Practice Address - Country:US
Practice Address - Phone:973-395-0215
Practice Address - Fax:973-395-0217
Is Sole Proprietor?:No
Enumeration Date:2007-10-02
Last Update Date:2007-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes173000000XOther Service ProvidersLegal Medicine