Provider Demographics
NPI:1760593560
Name:BYBEL, ANN MARIE (MD)
Entity Type:Individual
Prefix:DR
First Name:ANN
Middle Name:MARIE
Last Name:BYBEL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:175 MARTIN AVE
Mailing Address - Street 2:
Mailing Address - City:EPHRATA
Mailing Address - State:PA
Mailing Address - Zip Code:17522-1761
Mailing Address - Country:US
Mailing Address - Phone:717-721-5780
Mailing Address - Fax:717-721-5700
Practice Address - Street 1:175 MARTIN AVE
Practice Address - Street 2:
Practice Address - City:EPHRATA
Practice Address - State:PA
Practice Address - Zip Code:17522-1761
Practice Address - Country:US
Practice Address - Phone:717-721-5780
Practice Address - Fax:717-721-5700
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD041639L207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA679965OtherBLUE SHIELD
PA1530979OtherGATEWAY
PA5499267OtherAETNA
PA172540OtherTHREE RIVERS
PA4663112OtherUSH/HMO
PAP00010097OtherRRMCR
PA1249370004Medicaid
PAE92602Medicare UPIN
PAP00010097OtherRRMCR