Provider Demographics
NPI:1427479872
Name:LABIB, MINA L (MD)
Entity type:Individual
Prefix:DR
First Name:MINA
Middle Name:L
Last Name:LABIB
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2512 LINCOLN DR E
Mailing Address - Street 2:
Mailing Address - City:AMBLER
Mailing Address - State:PA
Mailing Address - Zip Code:19002-3867
Mailing Address - Country:US
Mailing Address - Phone:201-993-8487
Mailing Address - Fax:
Practice Address - Street 1:51 FRENCH ST
Practice Address - Street 2:MEDICAL EDUCATION BUILDING 404
Practice Address - City:NEW BRUNSWICK
Practice Address - State:NJ
Practice Address - Zip Code:08901-1921
Practice Address - Country:US
Practice Address - Phone:732-235-7721
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-01-01
Last Update Date:2015-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2789402085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology