Basic Information
Provider Information
NPI: 1780971028
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: GEORGE
FirstName: BIBBIN
MiddleName: PHILIP
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1 FEDERAL ST # 200
Address2:  
City: CAMDEN
State: NJ
PostalCode: 081031088
CountryCode: US
TelephoneNumber: 8563564924
FaxNumber:  
Practice Location
Address1: 1 COOPER PLZ
Address2:  
City: CAMDEN
State: NJ
PostalCode: 08103
CountryCode: US
TelephoneNumber: 8563422000
FaxNumber:  
Other Information
ProviderEnumerationDate: 07/07/2011
LastUpdateDate: 05/29/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
208M00000X25MA09389300NJY Allopathic & Osteopathic PhysiciansHospitalist 

No ID Information.


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