Organization
JIDEX GLOBAL CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES ORIBABOR M.D. (PRESIDENT)
(800) 603-6354
Entity
Organization
Contact information
Practice address
244 5TH AVE, SUITE C-234, NEW YORK, NY 10001-7604
(800) 603-6354
(866) 306-0179
Mailing address
540 SAINT JOHNS PL, 2-E, BROOKLYN, NY 11238-5533
(917) 338-6277
(866) 306-0179
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
—
—
207RP1001X
Pulmonary Disease Physician
—
—
Other
Enumeration date
05/13/2006
Last updated
07/22/2009
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