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Individual

PABLO R IBARROLA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M. D

Contact information

Practice address
211 PENNINGTON AVE, PASSAIC, NJ 07055-4617
(973) 470-3077
Mailing address
55 EUGENE CT, TOWNSHIP OF WASHINGTON, NJ 07676-4512
(201) 523-0879

Taxonomy

Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
25MA02953300
NJ

Other

Enumeration date
09/13/2006
Last updated
07/08/2007
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