Healthcare Provider Details

I. General information

NPI: 1770899163
Provider Name (Legal Business Name): MICHELLE CIFONE BILBAO D.O.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MICHELLE IRENE CIFONE D.O.

II. Dates (important events)

Enumeration Date: 08/24/2010
Last Update Date: 08/14/2024
Certification Date: 08/14/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 BOWMAN DR STE E315
VOORHEES NJ
08043-9637
US

IV. Provider business mailing address

200 BOWMAN DR STE E315
VOORHEES NJ
08043-9637
US

V. Phone/Fax

Practice location:
  • Phone: 856-247-7310
  • Fax: 856-247-7309
Mailing address:
  • Phone: 856-247-7310
  • Fax: 856-247-7309

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number0102202881
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number65978-21
License Number StateWI
# 3
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number25MB10392700
License Number StateNJ
# 4
Primary TaxonomyY
Taxonomy Code207VX0201X
TaxonomyGynecologic Oncology Physician
License Number25MB10397200
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: