Provider Demographics
NPI:1285633875
Name:DRIBEN, JEFFREY S (MD)
Entity Type:Individual
Prefix:DR
First Name:JEFFREY
Middle Name:S
Last Name:DRIBEN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:985 BERKSHIRE BLVD
Mailing Address - Street 2:STE 101
Mailing Address - City:WYOMISSING
Mailing Address - State:PA
Mailing Address - Zip Code:19610-1268
Mailing Address - Country:US
Mailing Address - Phone:610-374-5599
Mailing Address - Fax:610-288-8075
Practice Address - Street 1:985 BERKSHIRE BLVD
Practice Address - Street 2:STE 101
Practice Address - City:WYOMISSING
Practice Address - State:PA
Practice Address - Zip Code:19610-1268
Practice Address - Country:US
Practice Address - Phone:610-374-5599
Practice Address - Fax:610-288-8075
Is Sole Proprietor?:No
Enumeration Date:2005-07-18
Last Update Date:2023-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD068572L207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0017499800001Medicaid
PA1104778OtherAMERIHEALTH MERCY
PA7115536001OtherCIGNA
PA02039801OtherCAPITAL BLUE CROSS
PA0685767OtherKEYSTONE HP CENTRAL
PA0401640000OtherINDEPENDENCE BLUE CROSS
PA685767OtherHIGHMARK BLUE SHIELD
PA2195016OtherAETNA
PA0685767OtherKEYSTONE HP CENTRAL
PA027890FGWMedicare ID - Type Unspecified