ROSTISLAV D BARABASH

LONG BRANCH, NJ
NPI1699700815
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: NJ  26NJ00073000)
Enumeration Date2006-07-12
Last Update Date2011-10-14
Business Address
-- ROSTISLAV D BARABASH N.P.04/22/1945
300 2ND AVE
LONG BRANCH, NJ 07740-6303
Phone number: 732-923-6912
Mailing Address
-- ROSTISLAV D BARABASH N.P.04/22/1945
PO BOX 8000 DEPT 601
BUFFALO, NY 14267-0002
Phone number: 866-295-0041
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