Individual
LISA GUALBERTI-GIRGIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9 PROFESSIONAL CIR, SUITE 101, COLTS NECK, NJ 07722-2426
(732) 431-1520
(732) 431-1567
Mailing address
9 PROFESSIONAL CIR, SUITE 101, COLTS NECK, NJ 07722-2426
(732) 431-1520
(732) 431-1567
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MA068540
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
201045876
TAX IDENTIFICATION NUMBER
NJ
05
—
9073001
—
NJ
Enumeration date
08/08/2006
Last updated
06/25/2015
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