Individual
JOHN P CHIBBARO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
333 OLD HOOK RD, SUITE 100, WESTWOOD, NJ 07675-3200
(201) 664-2324
(201) 664-2358
Mailing address
333 OLD HOOK RD, SUITE 100, WESTWOOD, NJ 07675-3200
(201) 664-2324
(201) 664-2358
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
8416
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1078909
—
NJ
01
—
OK9957
ACS HEALTHNET NORTHEAST
NJ
Enumeration date
09/01/2006
Last updated
07/09/2007
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