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NEIBERG DE ALCANTARA LIMA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
112 MANSFIELD AVE, WILLIMANTIC, CT 06226-2045
(860) 456-9116
Mailing address
1000 OAKLAND DR, KALAMAZOO, MI 49008-1282

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
76031
CT
390200000X
Student in an Organized Health Care Education/Training Program
Primary
4351030606
MI

Other

Enumeration date
06/26/2018
Last updated
06/11/2024
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