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1194811331
THEODORE DIKTABAN
NEW YORK, NY
NPI
1194811331
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2086S0122X Surgery, Plastic and Reconstructive Surgery
(Licence: NY 131434)
Enumeration Date
2006-10-05
Last Update Date
2008-04-01
Business Address
-- THEODORE DIKTABAN MD
911 PARK AVE SUITE 1A
NEW YORK, NY 10075-0337
Phone number: 212-988-5656
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Mailing Address
-- THEODORE DIKTABAN MD
911 PARK AVE SUITE 1A
NEW YORK, NY 10075-0337
Phone number: 212-988-5656
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