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Contact Information

MARIA T IBANEZ, DPM
624 E GIRARD AVE
PHILADELPHIA, PA19125-3437
 Phone: 215-425-0211
 Fax: 215-425-8441
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery, Foot & Ankle

213ES0103X 48 Podiatry
Indicates primary specialty

NPI Profile & details for MARIA T IBANEZ · (Female)

NPI Number 1477724201
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 03/19/2008
Last updated 12/10/2021 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • FL License # PO3750
  • VT License # 056.0000199
Hospital affiliation(s)
  • CENTRAL VERMONT MEDICAL CENTER - (Acute Care)
    BOX 547
    BARRE, VT 05641
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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