| Doctor Name: | PABLO R IBARROLA |
| NPI Number: | 1073618443 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M. D |
| License Number: | 25MA02953300 |
| Business Practice Address: | 211 Pennington Ave Passaic, NJ - 070554617 |
| Business Phone Number: | 9734703077 |
| Business Fax Number: | |
| Mailing Address: | 55 Eugene Ct, TOWNSHIP OF WASHINGTON |
| State: | NJ |
| Postal Code: | 076764512 |
| Phone Number: | 2015230879 |
| Fax Number: | |
| NPI Enumeration Date: | 09/13/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QA1903X |
| License Number: | 25MA02953300 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Ambulatory Surgical |
| Taxonomy Definition: | |