Individual
S E VONBIBERSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2311 DELANEY RD, WILMINGTON, NC 28403-6012
(910) 762-8754
(910) 762-0778
Mailing address
2311 DELANEY RD, WILMINGTON, NC 28403-6012
(910) 762-8754
(910) 762-0778
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
36066
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01157
BCBS NC GROUP
NC
01
—
2525526
CIGNA PROVIDER NUMBER
NC
01
—
59476
MEDCOST
NC
05
—
7985120
—
NC
05
—
8901157
—
NC
01
—
CD6751
RAIL ROAD MEDICARE GROUP
—
Enumeration date
03/29/2006
Last updated
05/31/2012
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