MEDICARE: GABOR BARABAS M.D.

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
1	2084N0402X	Neurology with Special Qualifications in Child Neurology Physician	36108	NJ

General Provider Information

NPI Number	:	1578663738
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GABOR BARABAS M.D.

Provider Business Mailing Address
First Line	:	24 MUNCY DR
Second Line	:
City	:	WEST LONG BRANCH
State	:	NJ
Zip	:	07764-1147
Country	:	US
Telephone Number	:	732-571-1297
Fax Number	:	732-229-3167

Provider Business Practice Location Address
First Line	:	24 MUNCY DR
Second Line	:
City	:	WEST LONG BRANCH
State	:	NJ
Zip	:	07764-1147
Country	:	US
Telephone Number	:	732-571-1297
Fax Number	:	732-229-3167

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/25/2006
Last Update Date	:	07/08/2007

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