Individual
DR. MANABU TAKEBE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
125 PATERSON ST STE 4100, NEW BRUNSWICK, NJ 08901-1962
(732) 235-6106
(732) 235-2964
Mailing address
66 W GILBERT ST FL 2, TINTON FALLS, NJ 07701-4947
(201) 759-6921
(732) 212-0713
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
25MA10996800
NJ
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
332660
NY
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
MD461155
PA
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
ME141063
FL
Other
Enumeration date
05/13/2014
Last updated
10/10/2024
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