Organization
RAFFAELE GIBILISCO,MD,PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAFFAELE GIBILISCO M.D. (PRESIDENT)
(201) 295-1456
Entity
Organization
Contact information
Practice address
435 59TH ST, 1ST FL, WEST NEW YORK, NJ 07093-2107
(201) 295-1456
(201) 295-0266
Mailing address
435 59TH ST, 1ST FL, WEST NEW YORK, NJ 07093-2107
(201) 295-1456
(201) 295-0266
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
02/02/2012
Last updated
01/16/2013
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