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Individual

ROSTISLAV D BARABASH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
N.P.04/22/1945

Contact information

Practice address
300 2ND AVE, LONG BRANCH, NJ 07740-6303
(732) 923-6912
(732) 923-6914
Mailing address
PO BOX 8000, DEPT 601, BUFFALO, NY 14267-0002
(866) 295-0041
(708) 342-2517

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
26NJ00073000
NJ

Other

Enumeration date
07/12/2006
Last updated
10/14/2011
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