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1114488418
BRIAN IBABAO
BRONX, NY
NPI
1114488418
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207L00000X Anesthesiology
(Licence: NJ 25MA11741700)
Enumeration Date
2019-03-28
Last Update Date
2023-05-22
Business Address
BRIAN IBABAO MD
111 E 210TH ST
BRONX, NY 10467-2401
Phone number: 718-920-4321
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Mailing Address
BRIAN IBABAO MD
500 W MAIN ST STE 16
WYCKOFF, NJ 07481-1406
Phone number: 201-847-9320
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