Provider Demographics
NPI:1972540383
Name:EBERSOLE, ZERBY, CONSOLI AND WEST ASSOCIATES
Entity Type:Organization
Organization Name:EBERSOLE, ZERBY, CONSOLI AND WEST ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:KERRY
Authorized Official - Middle Name:L E
Authorized Official - Last Name:WILLIARD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-370-2500
Mailing Address - Street 1:301 S 7TH AVE
Mailing Address - Street 2:SUITE 365
Mailing Address - City:WEST READING
Mailing Address - State:PA
Mailing Address - Zip Code:19611-1410
Mailing Address - Country:US
Mailing Address - Phone:610-370-2500
Mailing Address - Fax:610-370-2504
Practice Address - Street 1:301 S 7TH AVE
Practice Address - Street 2:SUITE 365
Practice Address - City:WEST READING
Practice Address - State:PA
Practice Address - Zip Code:19611-1410
Practice Address - Country:US
Practice Address - Phone:610-370-2500
Practice Address - Fax:610-370-2504
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA074366Medicare ID - Type UnspecifiedMEDICARE GROUP