Individual
DR. PHILLIP J LOBUONO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
211 HIGHWAY 71, SPRING LAKE HEIGHTS, NJ 07762
(732) 449-0167
(732) 449-2357
Mailing address
211 HIGHWAY 71, SPRING LAKE HEIGHTS, NJ 07762
(732) 449-0167
(732) 449-2357
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
25886
NJ
207N00000X
Dermatology Physician
26776
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0004094075
AETNA
—
01
—
0013144
GHI
—
05
—
1901303
—
NJ
01
—
32135
WELLCHOICE EMPIRE BCBS
—
Enumeration date
06/28/2006
Last updated
05/14/2008
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