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Ebh Northeast Services — NPI 1487018180, Hanover, PA | NPI Central

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NPI 1487018180

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Ebh Northeast Services

NPI 1487018180 · Addiction Medicine (Family Medicine) Physician · Hanover, PA

Provider details

NPI number: 1487018180
Entity type: Organization
Primary specialty: Addiction Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
Parent organization: David Sack MD Tn PC
Organization subpart: Yes
Authorized official: Cheryl Maplesden, Director, Revenue Cycle(615) 510-3708
License: OS009643L (PA)

Specialties & taxonomies

Addiction Medicine (Family Medicine) PhysicianPrimary207QA0401XLicense OS009643L (PA)
Allopathic & Osteopathic Physicians

Practice location

544 Iron Ridge Rd

Hanover, PA 17331-6838

Phone: (615) 567-7256

Approximate (ZIP-level) locationGet directions

More PA providers

Mailing address

Po Box 670600

Dallas, TX 75267-0600

Other names (DBA / former)

Doing business as: Clarity Way

Registry dates

Enumerated: 2016-04-08
Last updated: 2016-04-08

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.