Individual
ROBERT J CERFOLIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
550 1ST AVE FL HCC15, NEW YORK, NY 10016-6402
(205) 934-4011
Mailing address
PO BOX 55310, BIRMINGHAM, AL 35255-5310
(205) 731-9701
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
182214
NY
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
19866
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000036636
BLUE CROSS
AL
05
—
000036636
—
AL
01
—
06736791
MISSISSIPPI MEDICAID
MS
01
—
F44661
VIVA
AL
Enumeration date
06/12/2006
Last updated
03/02/2021
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