Individual
DR. CHARLES J REBESCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7875 GRAND BLVD, HOBART, IN 46342-6665
(219) 942-9658
(219) 947-1996
Mailing address
7875 GRAND BLVD, HOBART, IN 46342-6665
(219) 942-9658
(219) 947-1996
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
01031652
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100379590A
—
IN
Enumeration date
08/25/2005
Last updated
08/05/2010
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