Search › Massachusetts › 207P00000X
Imikomobong Ibia, MD
NPI 1285122762 · on the registry since 2018
Practice
- Address
- 55 Fruit St
Boston, MA 02114 - Phone
- (617) 724-4100
- Organisation at this address
- Mgh
Mgpo
Leanne Miller
Brandon Law, Md
Dennis W Burke Md PcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 5,283
Additional practice sites
- 1133 Eagles Landing Pkwy, Stockbridge, GA
- 75 Francis St, Boston, MA
- 300 Longwood Ave, Boston, MA
Registry record
- Primary taxonomy
- 207P00000X
207P00000X
- Also registered as
- 207P00000X
2080P0204X - Licence states on file
- GA, MA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-08-10
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Massachusetts