Organization
GREATER LOUISVILLE INTERNAL MEDICINE PSC
Active
Organization
GREATER LOUISVILLE INTERNAL MEDICINE PSC
Active
Other names
Ciliberti, Wijangco & Bosler, PSC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SALVATORE CILIBERTI MD (VICE PRESIDENT)
(502) 587-0521
Entity
Organization
Contact information
Practice address
9517 US HIGHWAY 42, PROSPECT, KY 40059-9237
(502) 587-0521
(502) 587-3901
Mailing address
9517 US HIGHWAY 42, PROSPECT, KY 40059-9237
(502) 587-0521
(502) 587-3901
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
65901316
—
KY
Enumeration date
02/15/2006
Last updated
11/30/2021
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