Benjamin Karl Ebert, PA-C
Physician Assistant in Annapolis, MD. Individual provider (NPI-1).
NPI number1114705233
StatusActive
Last updated in NPPESMar 31, 2025
Details
- NPI
- 1114705233
- Entity type
- Individual (NPI-1)
- Name
- Benjamin Karl Ebert
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 19, 2023
- Certification date
- Mar 31, 2025
- Last updated
- Mar 31, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | C0009564 | MD | Yes |
Practice location
2629 Riva Rd Ste 114Annapolis, MD 21401-7428
Phone 410-573-2530 · Fax 410-573-2536
Mailing address
2629 Riva Rd Ste 114Annapolis, MD 21401-7428
Phone 410-573-2530 · Fax 410-573-2536
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