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Individual

DR. MARIA TERESA IBANEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.P.M.

Contact information

Practice address
1311 BARRE MONTPELIER ROAD, SUITE 400, BERLIN, VT 05641
(802) 371-4100
(802) 225-3984
Mailing address
1311 BARRE MONTPELIER ROAD, SUITE 400, BERLIN, VT 05641
(802) 371-4100
(802) 225-3984

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
056.0000199
VT
213ES0103X
Foot & Ankle Surgery Podiatrist
PO3750
FL

Other

Enumeration date
03/19/2008
Last updated
12/10/2021
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