Gloria Ibarra
Endocrinologist (Diabetes Doctor)
63 Main St
Brockton
, Massachusetts 02301-4042
Gloria Ibarra
Endocrinologist (Diabetes Doctor)
63 Main St
Brockton
, Massachusetts 02301-4042
(508) 559-5073
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About
Features
Specialties
- Endocrinologist (Diabetes Doctor)
Languages spoken
- English
Location
First Address
- Gloria Ibarra
- 63 Main St
- Brockton, MA
- Zip : 02301-4042
- Fax : (508) 559-5073
- Phone : (508) 559-6699
Second Address
- Gloria Ibarra
- 63 Main St
- Brockton, MA
- Zip : 02301-4042
- Fax : (508) 559-5073
- Phone : (508) 559-6699
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | 58627 | MA |
National Provider Identifier
| NPI | 1013019876 |
|---|---|
| Provider Name | Gloria Ibarra |
| First Address | Brockton, MA 02301-4042 |
| Second Address | Brockton, MA 02301-4042 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 02/09/2006 |
| Last Update Date | 10/01/2012 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.