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1134114887
ISAAC JOSHUA FAIBISOFF
SAINT LOUIS, MO
NPI
1134114887
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2084N0400X Psychiatry & Neurology, Neurology
(Licence: IL 036-105092)
Enumeration Date
2005-09-19
Last Update Date
2008-01-22
Business Address
Dr. ISAAC JOSHUA FAIBISOFF MD
915 N GRAND BLVD A632
SAINT LOUIS, MO 63106-1621
Phone number: 314-289-4706
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Mailing Address
Dr. ISAAC JOSHUA FAIBISOFF MD
27 ORCHARD DR
BELLEVILLE, IL 62221-6234
Phone number: 773-494-3653
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