Marie Jose Moubarak
Pediatric Infectious Diseases
407 N Brown St
West Columbia
, South Carolina 29169
Marie Jose Moubarak
Pediatric Infectious Diseases
407 N Brown St
West Columbia
, South Carolina 29169
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About
Features
Specialties
- Pediatric Infectious Diseases
Languages spoken
- English
Location
First Address
- Marie Jose Moubarak
- 407 N Brown St
- West Columbia, SC
- Zip : 29169-5710
- Phone :
Second Address
- Marie Jose Moubarak
- 407 N Brown St
- West Columbia, SC
- Zip : 29169
- Phone : (803) 995-8936
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2080P0208X | Pediatric Infectious Diseases | 83053 | SC |
National Provider Identifier
| NPI | 1497163547 |
|---|---|
| Provider Name | Marie Jose Moubarak |
| First Address | West Columbia, SC 29169-5710 |
| Second Address | West Columbia, SC 29169 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 31/07/2014 |
| Last Update Date | 18/11/2019 |
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.