Bifano, Carl Angelo

Bifano, Carl Angelo is an individual health care provider with primary practice located at 2 Plaza Dr Ste 202 , Sewell NJ 08080. He recently has 3 registered licenses in different health care specialties including Dental Providers / Oral and Maxillofacial Pathology, Dental Providers / Oral and Maxillofacial Surgery, Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery. Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery is his primary health care specialty. Bifano, Carl Angelo can be contacted via phone (856) 270-4100.

Contact Information

Primary practice address
2 Plaza Dr Ste 202 Sewell NJ 08080
Phone: (856) 270-4100
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Pathology 1223P0106X 6833 Maryland
Dental Providers / Oral and Maxillofacial Pathology 1223P0106X DI02457900 New Jersey
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X DS019214L Pennsylvania
Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery 204E00000X 22D102457901 New Jersey

Profile Details

NPI number 1124076500
LBN Legal business name Bifano, Carl Angelo
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 5th, 2006
Last updated Apr 1st, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124076500 NPPES
Pennsylvania MEDICAID 1025303770001
Pennsylvania Other DS019214L
Pennsylvania Other DI02457900

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