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Provider Information for 1972695153



DR. ROLANDO CIBISCHINO DMD

Gender: MALE

Individual NPI: 1972695153

Calendar Last Updated: 2007-07-08

Details

Name Value
NPI 1972695153
Enumeration Date 2006-09-28
NPI Type 1 - Individual
Sole Proprietor NO
Status Active
Mailing Address 71 SUMMIT AVE
HACKENSACK, NJ 07601-1262
United States

Phone: 201-342-7742 | Fax: 201-342-4647
View Map External Link
Primary Practice Address 71 SUMMIT AVE
HACKENSACK, NJ 07601-1262
United States

Phone: 201-342-7742 | Fax: 201-342-4647
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 1223G0001X - Dentist General Practice NJ DI 16068