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Individual

DR. VIRGILIA NEBAB

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
31 STURBRIDGE DR E, PISCATAWAY, NJ 08854-5142
(732) 463-0521
Mailing address
31 STURBRIDGE DR E, PISCATAWAY, NJ 08854-5142
(732) 463-0521

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
25MA03830500
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0812565
AETNA HMO #
NJ
01
1042141
HORIZON NJ HEALTH #
NJ
01
18414
AMERICAID #
NJ
01
19280
UNIVERSITY HP #
NJ
01
1K7505
HEALTHNET #
NJ
01
223442277
TAX ID #
NJ
01
551451
EMPIRE BC #
NJ
01
5715487
GHI PPO #
NJ
01
5999461
AETNA PPO #
NJ
05
6312608
NJ
01
MI000035901
AMERICHOICE #
NJ
01
P2039827
OXFORD #
NJ
Enumeration date
06/14/2006
Last updated
04/11/2019
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