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Individual

FABIAN PHILEMON NGIDO

Active
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Individual

FABIAN PHILEMON NGIDO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
0101261875
VA
208000000X
Pediatrics Physician
25MA11663500
NJ
208000000X
Pediatrics Physician
51472
TN
208000000X
Pediatrics Physician
Primary
C1-0024774
DE
208000000X
Pediatrics Physician
D0099613
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
Q006501
TN
Enumeration date
06/27/2011
Last updated
07/24/2024
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