Provider Demographics
NPI:1508508003
Name:MIDDLEBERG, MARIA D
Entity Type:Individual
Prefix:MRS
First Name:MARIA
Middle Name:D
Last Name:MIDDLEBERG
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3805 OLD EASTON RD # LAB244
Mailing Address - Street 2:
Mailing Address - City:DOYLESTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18902-8400
Mailing Address - Country:US
Mailing Address - Phone:215-450-9365
Mailing Address - Fax:215-370-2703
Practice Address - Street 1:3805 OLD EASTON RD # LAB244
Practice Address - Street 2:
Practice Address - City:DOYLESTOWN
Practice Address - State:PA
Practice Address - Zip Code:18902-8400
Practice Address - Country:US
Practice Address - Phone:215-450-9365
Practice Address - Fax:215-370-2703
Is Sole Proprietor?:Yes
Enumeration Date:2022-04-13
Last Update Date:2022-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1744R1102XOther Service ProvidersSpecialistResearch Study