Bustamante, Irineo

Bustamante, Irineo is an individual health care provider with primary practice located at 1925 Pacific Ave , Atlantic City NJ 08401-6713. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Bustamante, Irineo can be contacted via phone (609) 345-4000.

Contact Information

Primary practice address
1925 Pacific Ave Atlantic City NJ 08401-6713
Phone: (609) 345-4000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 25MA04155400 New Jersey

Profile Details

NPI number 1154439420
LBN Legal business name Bustamante, Irineo
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 28th, 2006
Last updated Mar 7th, 2023 - about last year

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154439420 NPPES
New Jersey Other 30035362 KEYSTONE MERCY
New Jersey Other 60018849 KEYSTONE MERCY
New Jersey Other P00312204 KEYSTONE MERCY
New Jersey Other 0212820000 KEYSTONE MERCY
New Jersey MEDICAID 3987302 KEYSTONE MERCY

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