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Individual

DR. MARIA VICTORIA PERTUBAL BEEBE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1 GUSTAVE L LEVY PL, NEW YORK, NY 10029-6504
(646) 884-4424
Mailing address
613 WASHINGTON BLVD # 1058, JERSEY CITY, NJ 07310-2900
(646) 874-4758

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
25MA09505800
NJ
208000000X
Pediatrics Physician
Primary
288767
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0425516
NJ
05
05860577
NY
Enumeration date
10/14/2011
Last updated
01/24/2023
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