Individual
DR. CLIFFORD G LISMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
320 SOUTH MAIN STREET, PHILLIPSBURG, NJ 08865-2824
(908) 387-6120
(908) 387-8322
Mailing address
320 SOUTH MAIN STREET, 2ND FLR, PHILLIPSBURG, NJ 08865
(908) 387-6120
(908) 387-8322
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DI010843
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1326708
—
NJ
Enumeration date
10/05/2006
Last updated
08/27/2014
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