Individual
MICHAEL DOMINICK CIBELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
174 EDISON RD, LAKE HOPATCONG, NJ 07849-2217
(973) 663-2700
Mailing address
60 PRICE CT, DENVILLE, NJ 07834-2176
(610) 295-4473
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
10/18/2021
Last updated
10/18/2021
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