Individual
DR. ROBERTO J DE BARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7 AUDUBON LN, CARLISLE, MA 01741-1500
(202) 251-6563
Mailing address
7 AUDUBON LN, CARLISLE, MA 01741-1500
(202) 251-6563
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
242844
NY
Other
Enumeration date
12/09/2008
Last updated
12/09/2008
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