Individual
KENNETH M NALABOFF
Active
Individual
KENNETH M NALABOFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
25MA08388500
NJ
2085R0202X
Diagnostic Radiology Physician
44640
WI
2085R0202X
Diagnostic Radiology Physician
47786
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000506347
ANTHEM INDIVIDUAL
OH
05
—
2718572
—
OH
05
—
34296800
—
WI
01
—
P00382665
RR MEDICARE-INDVIDUAL
OH
Enumeration date
05/24/2006
Last updated
07/03/2008
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