Provider Information for 1336122928
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Dr. TOM J BARBERA PhD
Sex: Male
NPI: 1336122928
Last Updated: 2024-06-11
Certification Date: 2024-06-11
Certification Date: 2024-06-11
Details
Name | Value | ||||||||||||
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NPI | 1336122928 | ||||||||||||
Enumeration Date | 2005-11-28 | ||||||||||||
NPI Type | NPI-1 Individual | ||||||||||||
Sole Proprietor | NO | ||||||||||||
Status | Active | ||||||||||||
Mailing Address | 395 WESTFIELD RD NOBLESVILLE, IN 46060-1425 United States Phone: 317-773-0760 | Fax: | ||||||||||||
Primary Practice Address | 205 WESTFIELD RD NOBLESVILLE, IN 46060-1424 United States Phone: 317-770-2841 | Fax: | ||||||||||||
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