Provider Demographics
NPI:1801172309
Name:LABIB, IRENE K (DPM)
Entity type:Individual
Prefix:DR
First Name:IRENE
Middle Name:K
Last Name:LABIB
Suffix:
Gender:F
Credentials:DPM
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Mailing Address - Street 1:210 W SAINT GEORGES AVE FL 2
Mailing Address - Street 2:
Mailing Address - City:LINDEN
Mailing Address - State:NJ
Mailing Address - Zip Code:07036-3900
Mailing Address - Country:US
Mailing Address - Phone:908-486-1111
Mailing Address - Fax:908-486-2723
Practice Address - Street 1:1139 RARITAN RD STE 202
Practice Address - Street 2:
Practice Address - City:CLARK
Practice Address - State:NJ
Practice Address - Zip Code:07066-1344
Practice Address - Country:US
Practice Address - Phone:732-388-1761
Practice Address - Fax:908-583-1037
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-27
Last Update Date:2019-03-25
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Provider Licenses
StateLicense IDTaxonomies
NJ25MD00316700213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery