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NPI Code Detail

MEDICARE: DR. GEORGINE HELENE SIBBERING MD

MEDICARE:  DR. GEORGINE HELENE SIBBERING  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine PhysicianMD041104EPA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1083791180
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. GEORGINE HELENE SIBBERING MD
Provider Business Mailing Address
First Line : 6 WOODSTOCK DR
Second Line :
City : SAYLORSBURG
State : PA
Zip : 18353
Country : US
Telephone Number : 570-588-6197
Fax Number :
Provider Business Practice Location Address
First Line : 5221 MILFORD RD
Second Line :
City : EAST STROUDSBURG
State : PA
Zip : 18302-9149
Country : US
Telephone Number : 570-588-6197
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/01/2006
Last Update Date : 05/22/2014

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Directions to “ DR. GEORGINE HELENE SIBBERING MD” Practice Location

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