Berio-Dorta, Raul Luis
Berio-Dorta, Raul Luis is an individual health care provider with primary practice located at 100 Bowman Drive , Voorhees NJ 08043. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hospitalist, which is considered as his primary health care specialty. Berio-Dorta, Raul Luis can be contacted via phone (856) 247-2594.Contact Information
Primary practice address
100 Bowman Drive
Voorhees NJ 08043
Phone: (856) 247-2594
Fax: (856) 247-2597
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 25MA09133200 | New Jersey |
Profile Details
| NPI number | 1225268444 |
|---|---|
| LBN Legal business name | Berio-Dorta, Raul Luis |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 22nd, 2009 |
| Last updated | Apr 2nd, 2021 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1225268444 | NPPES |
| New Jersey | MEDICAID | 0306142 |
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