Dr. Carl A. Bifano DMD
Oral & Maxillofacial Surgery (D.M.D.) in Sewell, NJ(View on Map)
Full Name
Dr. Carl Angelo Bifano DMD
NPI Number
1124076500
NPI Type
Individual Provider
Gender
Male
Enumeration Date
05/05/2006
Specialties
(Taxonomies)Name
Code
204E00000X
1223P0106X
1223S0112X
Primary Taxonomy
Yes
No
No
Licenses
State
Maryland
New Jersey
New Jersey
Pennsylvania
License Number
6833
22D102457901
DI02457900
DS019214L
Contact
Information
Purpose
Mailing
Location
Address
1 FEDERAL ST STE SW200
2 PLAZA DR STE 202
City
Camden
Sewell
State
NJ
NJ
Postal Code
08103-1155
08080
Country
US
US
Telephone Number
(856) 356-4924
(856) 270-4100
Identifiers
Identifier
1025303770001
DS019214L
DI02457900
Identifier State
PA
PA
NJ
Identifier Issuer
Unknown
LICENSE
STATE LICENSE
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 04/01/2019