Doctor Name: | DR. MARCUS ELIJAH BABAOFF |
NPI Number: | 1861650590 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | |
Business Practice Address: | 603 Dolley Madison Rd # A Greensboro, NC - 274104283 |
Business Phone Number: | 3362946190 |
Business Fax Number: | 3362946278 |
Mailing Address: | Po Box 14883, GREENSBORO |
State: | NC |
Postal Code: | 274154883 |
Phone Number: | 3362746936 |
Fax Number: | 3362750812 |
NPI Enumeration Date: | 05/29/2008 |
NPI Last Update Date: | 04/07/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy 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. |