Individual
SAMUEL DAVID CILIBERTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
101 S VANCE ST, SANFORD, NC 27330-4239
(919) 776-0551
(919) 776-0553
Mailing address
101 S VANCE ST, SANFORD, NC 27330-4239
(919) 776-0551
(919) 776-0553
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
19980
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0204V
BLUE CROSS BLUE SHIELD GP
NC
01
—
22490
BLUE CROSS BLUE SHIELD
NC
05
—
890204V
—
NC
05
—
8922490
—
NC
Enumeration date
03/17/2007
Last updated
07/09/2007
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