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1306954946
CHARLES EDMOND LIBBY
BRONX, NY
NPI
1306954946
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208800000X Urology
(Licence: NY 150970)
Enumeration Date
2006-08-25
Last Update Date
2021-08-23
Business Address
CHARLES EDMOND LIBBY MD
2015 GRAND CONCOURSE
BRONX, NY 10453-4303
Phone number: 718-299-7295
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Mailing Address
CHARLES EDMOND LIBBY MD
1434 WILLIAMSBRIDGE RD FL 2
BRONX, NY 10461-2507
Phone number: 718-618-0401
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