Individual
BIBIANA RESTREPO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
800 WASHINGTON ST, # 334, BOSTON, MA 02111-1552
(617) 636-8080
Mailing address
2825 50TH ST, SACRAMENTO, CA 95817-2310
(916) 703-0300
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME102030
FL
2080P0006X
Developmental - Behavioral Pediatrics Physician
151456
CA
2080P0006X
Developmental - Behavioral Pediatrics Physician
258857
MA
208D00000X
General Practice Physician
BP10021650
TX
208D00000X
General Practice Physician
ME102030
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000315000
—
FL
Enumeration date
09/25/2007
Last updated
10/20/2017
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