Provider Demographics
NPI:1437359171
Name:ROBERT V SIBILIA MD INC
Entity Type:Organization
Organization Name:ROBERT V SIBILIA MD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:V
Authorized Official - Last Name:SIBILIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-345-2459
Mailing Address - Street 1:324 E MILLTOWN RD
Mailing Address - Street 2:SUITE A
Mailing Address - City:WOOSTER
Mailing Address - State:OH
Mailing Address - Zip Code:44691-2269
Mailing Address - Country:US
Mailing Address - Phone:330-345-2459
Mailing Address - Fax:330-345-3756
Practice Address - Street 1:324 E MILLTOWN RD
Practice Address - Street 2:SUITE A
Practice Address - City:WOOSTER
Practice Address - State:OH
Practice Address - Zip Code:44691-2269
Practice Address - Country:US
Practice Address - Phone:330-345-2459
Practice Address - Fax:330-345-3756
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-20
Last Update Date:2015-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory