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Contact Information

CARL A BIFANO, DMD
2 PLAZA DR STE 202
SEWELL, NJ08080
 Phone: 856-270-4100
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Oral & Maxillofacial Surgery

204E00000X 02 Physician/General Surgery
 

Oral and Maxillofacial Pathology

1223P0106X
 

Oral and Maxillofacial Surgery

1223S0112X 19 Oral Surgery (Dentist only)
Indicates primary specialty

NPI Profile & details for CARL A BIFANO · (Male)

NPI # 1124076500
Status Active
Credentials DMD (Doctor of Medical Dentistry)
Entity Individual
Enumeration date 05/05/2006
Last updated 04/01/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • MD License # 6833
  • NJ License # 22D102457901
  • NJ License # DI02457900
  • PA License # DS019214L
  • PA Medicaid 1025303770001
  • NJ Other DI02457900 STATE LICENSE
  • PA Other DS019214L LICENSE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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