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NPI Code Detail

MEDICARE: MAGDA ERAIBA M.D,

MEDICARE:   MAGDA  ERAIBA  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
1207R00000XInternal Medicine PhysicianMA57647NJ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1841327384
Entity Type Code : Individual
Provider Name (Legal Business Name) : MAGDA ERAIBA M.D,
Provider Business Mailing Address
First Line : 510 HAMBURG TPKE STE 208
Second Line :
City : WAYNE
State : NJ
Zip : 07470-2033
Country : US
Telephone Number : 973-904-3480
Fax Number : 973-904-3485
Provider Business Practice Location Address
First Line : 510 HAMBURG TPKE STE 208
Second Line :
City : WAYNE
State : NJ
Zip : 07470-2033
Country : US
Telephone Number : 973-904-3480
Fax Number : 973-904-3485
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/28/2007
Last Update Date : 07/08/2007

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Directions to “ MAGDA ERAIBA M.D,” Practice Location

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