Decotiis, Bruce Anthony
Decotiis, Bruce Anthony is an sole proprietor health care provider with primary practice located at 1673 Highway 88 West , Brick NJ 08724. He recently has only one registered license in Allopathic & Osteopathic Physicians / Allergy & Immunology, which is considered as his primary health care specialty. Decotiis, Bruce Anthony can be contacted via phone (732) 458-2000.Contact Information
Primary practice address
1673 Highway 88 West
Brick NJ 08724
Phone: (732) 458-2000
Fax: (732) 458-4523
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Allergy & Immunology | 207K00000X | 032368 | New Jersey |
Profile Details
| NPI number | 1750494613 |
|---|---|
| LBN Legal business name | Decotiis, Bruce Anthony |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 16th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1750494613 | NPPES |
| New Jersey | MEDICAID | 4770005 |
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