Individual
MARCIA RIBALTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
25MA08010000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0118443
—
NJ
Enumeration date
05/31/2006
Last updated
05/02/2008
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