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Individual

PABLO M TEBAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3400 SPRUCE ST, PHILADELPHIA, PA 19104-4206
(215) 662-6932
(215) 662-7899
Mailing address
3400 SPRUCE ST, PHILADELPHIA, PA 19104-4206

Taxonomy

Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
MD421328
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1011723340001
PA
Enumeration date
06/24/2006
Last updated
11/05/2012
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