Individual
DR. TIBISAY I VILLALOBOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1210 S CEDAR CREST BLVD, SUITE 2400, ALLENTOWN, PA 18103-6229
(610) 402-3824
(610) 402-3893
Mailing address
1210 S CEDAR CREST BLVD, SUITE 2400, ALLENTOWN, PA 18103-6229
(610) 402-3824
(610) 402-3893
Taxonomy
Speciality
Code
Description
License number
State
2080P0208X
Pediatric Infectious Diseases Physician
Primary
MD447355
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1027656310001
—
PA
Enumeration date
07/19/2005
Last updated
06/17/2015
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