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IMIKOMOBONG IBIA, MD

MD

Emergency Medicine Physician

NPI: 1285122762IndividualAccepts Medicare

Specialties, Licenses & Credentials

Student in an Organized Health Care Education/Training Program

Student in an Organized Health Care Education/Training Program

Code: 390200000X

Emergency Medicine PhysicianPrimary

Emergency Medicine

Code: 207P00000X

109444(GA)290390(MA)

CMS Specialties

PrimaryEMERGENCY MEDICINE

Education

OTHER

Class of 2018

Contact & Hours

Via practice · 4 locations total

Address
55 FRUIT ST, WHITE 1
BOSTON, MA 02114

Locations (4)

Practice Location

55 FRUIT ST, BOSTON, MA
(617) 724-4100

Practice Location

300 LONGWOOD AVENUE, BOSTON, MA
(617) 355-6624

Practice Location

75 FRANCIS ST, BOSTON, MA
(617) 732-5636

Practice Location

1133 EAGLES LANDING PKWY, STOCKBRIDGE, GA
(678) 604-1000

Quick Facts

NPI
1285122762
Entity Type
Individual
Gender
Male
Medicare
Accepted
Specialties
3
Locations
4
Years in Practice
8

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