Individual
DR. MAURIZIO CIBISCHINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
600 PLAZA CT, E STROUDSBURG, PA 18301-8263
(570) 421-7020
(570) 421-7091
Mailing address
600 PLAZA CT, E STROUDSBURG, PA 18301-8263
(570) 421-7020
(570) 421-7091
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD059546L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
868749KCA
BLUE SHIELD
PA
Enumeration date
07/22/2005
Last updated
07/08/2007
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