Irineo Bustamante JR. MD

NPI 1154439420 - Emergency Medicine - 207P00000X

NPI Details
NPI 1154439420
Gender Female
Enumeration Date 08/28/2006
Last Updated 07/01/2009
Entity Type Individual
Active Over 10 years ago
Practice Location
1925 PACIFIC AVE
ATLANTIC CITY NJ, 08401-6713, US
Phone (609) 345-4000
Fax
Business Location
6896 W SNOWVILLE RD
BRECKSVILLE OH, 44141-3214, US
Phone (440) 717-6600
Fax
Toxanomy
Taxonomy Code 207P00000X
License State New Jersey
License Number 25MA04155400
Remove 1154439420 NPI Number
 

According to our database, Irineo Bustamante JR. MD NPI is 1154439420, taxonomy code is 207P00000X and license number is 25MA04155400, license state is located at New Jersey. Irineo Bustamante JR. MD physically located at 1925 Pacific Ave, Atlantic City NJ, 08401-6713. NPI Number Irineo Bustamante JR. MD has the Individual type.

Sponsored links

1154439420 NPI number is provided on an as is basis without warranty of any kind. 1154439420 is maintained by the National Plan & Provider Enumeration System. The contents of Irineo Bustamante JR. MD are for informational purposes only.