MEDICARE: ROCCO A GILIBERTI DO LLC

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	207Q00000X	Family Medicine Physician	25MBO44947	NJ

General Provider Information

NPI Number	:	1982904728
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ROCCO A GILIBERTI DO LLC

Provider Business Mailing Address
First Line	:	2911 ROUTE 88
Second Line	:	SUITE B3
City	:	POINT PLEASANT BORO
State	:	NJ
Zip	:	08742-2871
Country	:	US
Telephone Number	:	732-892-9920
Fax Number	:

Provider Business Practice Location Address
First Line	:	2911 ROUTE 88
Second Line	:	SUITE B3
City	:	POINT PLEASANT BORO
State	:	NJ
Zip	:	08742-2871
Country	:	US
Telephone Number	:	732-892-9920
Fax Number	:

Authorized Official
Title or Position	:	BILLER
Name	:	MS. KIM JAWIDZIK
Credential	:
Telephone Number	:	609-296-2267

Provider Enumeration Date	:	10/27/2010
Last Update Date	:	10/27/2010

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Directions to “ROCCO A GILIBERTI DO LLC ” Practice Location

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