Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VE0102X | Reproductive Endocrinologist | 236178 | NJ |
NPI | 1306926969 |
---|---|
Provider Name | Eli Rybak |
First Address | Basking Ridge, NJ 07920-2976 |
Second Address | Basking Ridge, NJ 07920-2976 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/10/2006 |
Last Update Date | 13/06/2013 |