Whalio Doctors

NPI 1124076500

Carl Angelo Bifano, DMD

Practitioner Oral & Maxillofacial Surgery (D.M.D.) Sewell, NJ

Practice location

Address
2 Plaza Dr STE 202, Sewell, NJ 08080
Phone
(856) 270-4100
Mailing address
1 Federal St STE Sw200, Camden, NJ 08103-1155

Registered specialties (4)

Oral & Maxillofacial Surgery (D.M.D.) Primary
Allopathic & Osteopathic Physicians Taxonomy 204E00000X Licence 22D102457901 (NJ)
Oral and Maxillofacial Pathology Dentistry
Dental Providers Taxonomy 1223P0106X Licence 6833 (MD)
Oral and Maxillofacial Pathology Dentistry
Dental Providers Taxonomy 1223P0106X Licence DI02457900 (NJ)
Oral and Maxillofacial Surgery (Dentist)
Dental Providers Taxonomy 1223S0112X Licence DS019214L (PA)

Registry record

NPI
1124076500
Entity type
Individual
Sex (as registered)
Male
NPI issued
5 May 2006
Record last updated
1 Apr 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.