Individual
IVAN APONTE TABOAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD STUDENT
Contact information
Practice address
2545 SCHOENERSVILLE RD, BETHLEHEM, PA 18017-7300
(484) 884-2489
Mailing address
340 CALLE GONZALO BERCEO, URB EL SENORIAL, SAN JUAN, PR 00926
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MT229475
PA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
08/30/2021
Last updated
06/13/2023
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