Individual
MR. RAFFAELE M CORBISIERO SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
210S GRAND AVE 407, GLENDORA, CA 91741-4290
(626) 914-5051
(626) 914-5068
Mailing address
210S GRAND AVE 407, GLENDORA, CA 91741-4290
(626) 914-5051
(626) 914-5068
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
A48113
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A481131
—
CA
Enumeration date
08/29/2005
Last updated
08/21/2015
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