| Rodolfo Ilas Barbon, | |
|
1650 Selwyn Ave, Bronx, NY 10457-7626 | |
| (718) 518-5011 | |
| Not Available |
| Full Name | Rodolfo Ilas Barbon |
|---|---|
| Gender | Male |
| Speciality | Hospitalist |
| Location | 1650 Selwyn Ave, Bronx, New York |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487737656 | NPI | - | NPPES |
| 01007469 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208M00000X | Hospitalist | 145361 (New York) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Rodolfo Ilas Barbon, 10 Clayton Ct, Township Of Washington, NJ 07676-4534 Ph: (201) 666-3810 | Rodolfo Ilas Barbon, 1650 Selwyn Ave, Bronx, NY 10457-7626 Ph: (718) 518-5011 |
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