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NPI Code Detail

MEDICARE: MS. ILDIKO CHRISTINE GERBATSCH-BORNEMISZA MD

MEDICARE: MS. ILDIKO CHRISTINE GERBATSCH-BORNEMISZA MD
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
1207QA0505XAdult Medicine PhysicianA63645CA

General Provider Information

NPI Number : 1134258148
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. ILDIKO CHRISTINE GERBATSCH-BORNEMISZA MD
Provider Business Mailing Address
First Line : 3490 PALM AVE
Second Line :
City : SAN DIEGO
State : CA
Zip : 92154-1664
Country : US
Telephone Number : 619-423-5616
Fax Number : 619-423-8564
Provider Business Practice Location Address
First Line : 3490 PALM AVE
Second Line :
City : SAN DIEGO
State : CA
Zip : 92154-1664
Country : US
Telephone Number : 619-423-5616
Fax Number : 619-423-8564
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/05/2007
Last Update Date : 12/15/2015

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