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Contact Information

EDMOND B CABBABE, MD
10004 KENNERLY RD STE 281B
SAINT LOUIS, MO63128-2109
 Phone: 314-842-5885
 Fax: 314-842-7792
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Plastic Surgery

208200000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for EDMOND B CABBABE · (Male)

NPI Number 1437126489
Status Active
Credentials MD
Entity Individual
Enumeration date 03/08/2006
Last updated 06/25/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • MO License # R8454
Hospital affiliation(s)
  • ST ANTHONY'S MEDICAL CENTER - (Acute Care)
    10010 KENNERLY ROAD
    SAINT LOUIS, MO 63128
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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