Organization
LUCIANO J. BISPO, MD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUCIANO J BISPO M.D. (PRESIDENT)
(856) 205-0606
Entity
Organization
Contact information
Practice address
2950 COLLEGE DR, STE 2F, VINELAND, NJ 08360-6933
(856) 205-0606
(856) 205-0044
Mailing address
175 W COHAWKIN RD STE C, CLARKSBORO, NJ 08020-1145
(856) 423-7700
(856) 423-0823
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MA07269600
NJ
Other
Enumeration date
07/29/2006
Last updated
06/12/2013
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