Individual
DR. JAVIER E REPETTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
809 UNIVERSITY BLVD E, TUSCALOOSA, AL 35401-2029
(205) 333-4656
(205) 333-4660
Mailing address
10250 LAKE SIDE DR, TUSCALOOSA, AL 35406-5007
(205) 333-4656
(205) 333-4660
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
22708
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009956880
—
AL
01
—
051502661
BLUE CROSS/BLUE SHIELD OF AL - NORTHPORT
AL
01
—
051522241
BLUE CROSS/BLUE SHIELD OF AL - DCH
AL
Enumeration date
12/11/2006
Last updated
07/17/2015
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