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Ista Ariane Egbeto, MD
Student in an Organized Health Care Education/Training Program in Brockton, Massachusetts
NPI 1962080754

Ista Ariane Egbeto is a Student in an Organized Health Care Education/Training Program based in Weymouth, MA. Ista Ariane Egbeto practices in Brockton, MA and has the professional credentials of MD. The NPI Number for Ista Ariane Egbeto is 1962080754 and holds a License No. (Massachusetts).

The current practice location address for Ista Ariane Egbeto is 680 Centre St, Brockton, MA and can be reached out via phone at 240-273-6219.

Location: 680 Centre St, Brockton, MA, 02189-1826
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1962080754
Provider Name
Ista Ariane Egbeto
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
680 Centre St, Brockton, MA, 02189-1826
Phone Number
240-273-6219
Fax Number
Provider Enumeration Date
04/01/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
680 Centre St
City
Brockton
State
Massachusetts
Zip
02302-3308
Phone Number
240-273-6219
Fax Number
person
Provider Business Mailing Address Details
Address
680 Centre St
City
Brockton
State
Massachusetts
Zip
02302-3308
Phone Number
240-273-6219
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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