Individual
PHILLIP IRWIN NIEBURG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, MPH
Contact information
Practice address
2400 THRUSH RD, CHARLOTTESVILLE, VA 22901-8812
(434) 981-5674
Mailing address
2400 THRUSH RD, CHARLOTTESVILLE, VA 22901-8812
(434) 981-5674
Taxonomy
Speciality
Code
Description
License number
State
2080P0208X
Pediatric Infectious Diseases Physician
Primary
116900
NY
Other
Enumeration date
04/25/2026
Last updated
04/25/2026
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