Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0205X | Pediatric Endocrinologist | 25MA10707700 | NJ |
NPI | 1063851053 |
---|---|
Provider Name | Rebecca Faith Geliebter |
First Address | Maywood, NJ 07607-1264 |
Second Address | Maywood, NJ 07607-1264 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/06/2013 |
Last Update Date | 04/12/2019 |