MEDICARE: JEFFREY D FILIBERTO M.D.

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
1	208100000X	Physical Medicine & Rehabilitation Physician	0101241401	VA
2	2081P2900X	Pain Medicine (Physical Medicine & Rehabilitation) Physician	L3964	TX

General Provider Information

NPI Number	:	1811917941
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JEFFREY D FILIBERTO M.D.

Provider Business Mailing Address
First Line	:	300 PARK HILL DRIVE
Second Line	:
City	:	FREDERICKSBURG
State	:	VA
Zip	:	22401-0000
Country	:	US
Telephone Number	:	540-368-7300
Fax Number	:	540-368-7596

Provider Business Practice Location Address
First Line	:	300 PARK HILL DRIVE
Second Line	:
City	:	FREDERICKSBURG
State	:	VA
Zip	:	22401-0000
Country	:	US
Telephone Number	:	540-972-2884
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/20/2006
Last Update Date	:	05/13/2010

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