Individual
RODOLFO ILAS BARBON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1650 SELWYN AVE, BRONX, NY 10457-7626
(718) 518-5011
Mailing address
10 CLAYTON CT, TOWNSHIP OF WASHINGTON, NJ 07676-4534
(201) 666-3810
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
145361
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01007469
—
NY
Enumeration date
10/23/2006
Last updated
07/08/2007
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