Organization
NEONATOLOGY ASSOCIATES OF TUSCALOOSA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAVIER REPETTO M.D. (ACTING MANAGER/SECRETARY)
(205) 333-4655
Entity
Organization
Contact information
Practice address
809 UNIVERSITY BLVD E, TUSCALOOSA, AL 35401-2029
(205) 333-4655
(205) 333-4660
Mailing address
10250 LAKE SIDE DR, TUSCALOOSA, AL 35406-5007
(205) 333-4655
(205) 333-4660
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
—
—
Other
Enumeration date
06/17/2014
Last updated
06/17/2014
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