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Individual

DR. ALAN ASHLEY BOBER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
4802 10TH AVE, BROOKLYN, NY 11219-2916
(718) 283-8317
(718) 635-7291
Mailing address
92 CEDAR DR W, PLAINVIEW, NY 11803-2824

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
155842
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01179262
NY
Enumeration date
09/12/2006
Last updated
07/08/2007
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