Provider Demographics
NPI:1760754154
Name:EBEL MEDICAL ASSOCIATES LLC.
Entity Type:Organization
Organization Name:EBEL MEDICAL ASSOCIATES LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:EBELE
Authorized Official - Middle Name:
Authorized Official - Last Name:UFONDU
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:609-581-4800
Mailing Address - Street 1:941 WHITE HORSE AVE
Mailing Address - Street 2:SUITE 14
Mailing Address - City:HAMILTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08610-1407
Mailing Address - Country:US
Mailing Address - Phone:609-581-4800
Mailing Address - Fax:609-581-9980
Practice Address - Street 1:941 WHITE HORSE AVE
Practice Address - Street 2:SUITE 14
Practice Address - City:HAMILTON
Practice Address - State:NJ
Practice Address - Zip Code:08610-1407
Practice Address - Country:US
Practice Address - Phone:609-581-4800
Practice Address - Fax:609-581-9980
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-01
Last Update Date:2012-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA06076200282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ6326102Medicaid
NJ044421Medicare PIN