| Doctor Name: | MISS TABRIEZ BABINCHOK-CIPOT |
| NPI Number: | 1174804553 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PA-C |
| License Number: | MA055012 |
| Business Practice Address: | 2510 Maryland Rd Suite 185 Willow Grove, PA - 190901109 |
| Business Phone Number: | 2156575886 |
| Business Fax Number: | 2156579996 |
| Mailing Address: | 2510 Maryland Rd, Suite 185 WILLOW GROVE |
| State: | PA |
| Postal Code: | 190901109 |
| Phone Number: | 2156575886 |
| Fax Number: | 2156579996 |
| NPI Enumeration Date: | 08/30/2011 |
| NPI Last Update Date: | 09/21/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AS0400X |
| License Number: | MA055012 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Surgical |
| Taxonomy Definition: | |