Provider Demographics
NPI:1750598264
Name:PARAYIL, CIBLE MATHULLA (MD)
Entity type:Individual
Prefix:
First Name:CIBLE
Middle Name:MATHULLA
Last Name:PARAYIL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:CIBLE
Other - Middle Name:
Other - Last Name:MATHULLA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:4419B LEMAY LANE
Mailing Address - Street 2:
Mailing Address - City:JB MDL
Mailing Address - State:NJ
Mailing Address - Zip Code:08641
Mailing Address - Country:US
Mailing Address - Phone:914-374-8461
Mailing Address - Fax:
Practice Address - Street 1:705 HADDONFIELD BERLIN RD
Practice Address - Street 2:
Practice Address - City:VOORHEES
Practice Address - State:NJ
Practice Address - Zip Code:08043-3714
Practice Address - Country:US
Practice Address - Phone:856-679-0537
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-16
Last Update Date:2024-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA12068600207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine