Provider Demographics
NPI:1215957634
Name:REIFFE FISHBANE, JOANNE (DMD)
Entity type:Individual
Prefix:DR
First Name:JOANNE
Middle Name:
Last Name:REIFFE FISHBANE
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:231 CLARKSVILLE RD
Mailing Address - Street 2:SUITE 4D
Mailing Address - City:WEST WINDSOR
Mailing Address - State:NJ
Mailing Address - Zip Code:08550-5300
Mailing Address - Country:US
Mailing Address - Phone:609-275-5400
Mailing Address - Fax:609-275-2839
Practice Address - Street 1:231 CLARKSVILLE RD
Practice Address - Street 2:SUITE 4D
Practice Address - City:WEST WINDSOR
Practice Address - State:NJ
Practice Address - Zip Code:08550-5300
Practice Address - Country:US
Practice Address - Phone:609-275-5400
Practice Address - Fax:609-275-2839
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJDI124361223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice