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NPI Code Detail

MEDICARE: DR. STUART BRIAN SIBEL D.P.M.

MEDICARE: DR. STUART BRIAN SIBEL D.P.M.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1213ES0131XFoot Surgery PodiatristPO423DC
2213ES0131XFoot Surgery Podiatrist00926MD

General Provider Information

NPI Number : 1093712184
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. STUART BRIAN SIBEL D.P.M.
Provider Business Mailing Address
First Line : 2021 K ST NW
Second Line : STE 520
City : WASHINGTON
State : DC
Zip : 20006-1003
Country : US
Telephone Number : 202-223-4616
Fax Number : 202-223-0740
Provider Business Practice Location Address
First Line : 2021 K ST NW
Second Line : STE 520
City : WASHINGTON
State : DC
Zip : 20006-1003
Country : US
Telephone Number : 202-223-4616
Fax Number : 202-223-0740
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/05/2005
Last Update Date : 12/03/2010

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