Provider Demographics
NPI:1013970086
Name:GILIBERTI, ROCCO ANTHONY (DO)
Entity Type:Individual
Prefix:DR
First Name:ROCCO
Middle Name:ANTHONY
Last Name:GILIBERTI
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:2911 HIGHWAY 88
Mailing Address - Street 2:SUITE B3
Mailing Address - City:POINT PLEASANT BEACH
Mailing Address - State:NJ
Mailing Address - Zip Code:08742-2871
Mailing Address - Country:US
Mailing Address - Phone:732-892-9920
Mailing Address - Fax:732-295-6625
Practice Address - Street 1:2911 HIGHWAY 88
Practice Address - Street 2:SUITE B3
Practice Address - City:POINT PLEASANT BEACH
Practice Address - State:NJ
Practice Address - Zip Code:08742-2871
Practice Address - Country:US
Practice Address - Phone:732-892-9920
Practice Address - Fax:732-295-6625
Is Sole Proprietor?:No
Enumeration Date:2006-04-10
Last Update Date:2010-04-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJMB44947207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ223731777OtherTAX ID
NJ223731777OtherTAX ID
NJ457645Medicare ID - Type Unspecified