Provider Demographics
NPI:1306291828
Name:CYBULSKI, ROBERT JOHN JR
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:JOHN
Last Name:CYBULSKI
Suffix:JR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:DEPARTMENT OF LABORATORY MEDICINE UW
Mailing Address - Street 2:BOX 357110
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98195-7110
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:DEPARTMENT OF LABORATORY MEDICINE UW
Practice Address - Street 2:BOX 357110
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98195-7110
Practice Address - Country:US
Practice Address - Phone:910-797-2495
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-05-03
Last Update Date:2016-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program