Dibos-Edery, P.A. in Baltimore - Nuclear Medicine
Dibos-Edery, P.A. - NPI 1154514719
Dibos-Edery, P.A. is a Nuclear Medicine in Baltimore, Maryland. Dibos-Edery, P.A. practices all healthcare services and medical treatments related to Nuclear Medicine. The NPI Number for Dibos-Edery, P.A. is 1154514719. The last update date is 2007-08-27.
Dibos-Edery, P.A.'s current location address is 5601 Loch Raven Blvd, Baltimore, Maryland. You can contact this provider via phone number 4105323710 and fax number 4105324405. The mailing address for Dibos-Edery, P.A. is 5601 Loch Raven Blvd, Baltimore, Maryland. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Dibos-Edery, P.A. |
|---|---|
| Address | 5601 Loch Raven Blvd, Baltimore, Maryland |
| Phone Number | 4105323710 |
| Fax Number | 4105324405 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | M.D. |
|---|---|
| Authorized Official Name | Dibos E. Pablo |
| Credentials | M.D. |
| Telephone Number | 4105323710 |
NPI Number Detail
| NPI Number | 1154514719 |
|---|---|
| Provider Enumeration Date | 2007-08-27 |
| Last Updated Date | 2007-08-27 |
Provider Mailing Address Detail
| Address | 5601 Loch Raven Blvd |
|---|---|
| City | Baltimore |
| State | Maryland (MD) |
| Post Code | 212392905 |
| Phone Number | 4105323710 |
| Fax Number | 4105324405 |
Provider's Primary Taxonomy Detail
| Speciality | Nuclear Medicine |
|---|---|
| Taxonomy | 207U00000X |
| Licence No | D0004683 |
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Definition: A nuclear medicine specialist employs the properties of radioactive atoms and molecules in the diagnosis and treatment of disease and in research. Radiation detection and imaging instrument systems are used to detect disease as it changes the functio |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| R251 001 | DC | CAREFIRST DC | |
| 110238 | JHHP | ||
| 2788PE | MD | CAREFIRST MARYLAND |
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What is the Dibos-Edery, P.A.'s unique identification number?
The Dibos-Edery, P.A. has been assigned the NPI (National Provider Identifier) Number 1154514719 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the Dibos-Edery, P.A.'s physical address?
The Dibos-Edery, P.A. is physically located at 5601 Loch Raven Blvd, in the city of Baltimore, MD, with the postal code 212392905.
What is Dibos-Edery, P.A.'s specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Dibos-Edery, P.A.'s specialized field of practice is Nuclear Medicine, and the corresponding taxonomy code that categorizes this area of specialization is 207U00000X.
On what date did the Dibos-Edery, P.A. receive the assignment of its 1154514719 from the Centers for Medicare & Medicaid Services?
The Dibos-Edery, P.A. was issued its 1154514719 by the Centers for Medicare & Medicaid Services on 2007-08-27.
When was the information regarding Dibos-Edery, P.A. most recently updated?
The details pertaining to the Dibos-Edery, P.A., including its address, specialty, and other relevant information, were last refreshed on 2007-08-27.