Organization · NPI-2

Rotoli Medical Consultants LLC

Internal Medicine · Edgewater, NJ

NPI number1669855565
StatusActive
Last updated in NPPESJul 9, 2015

Details

NPI
1669855565
Entity type
Organization (NPI-2)
Legal business name
Rotoli Medical Consultants LLC
Organization subpart
No
Enumeration date
Jul 9, 2015
Last updated
Jul 9, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal Medicine25mb09391900NJYes

Practice location

103 River Rd Ste 1b
Edgewater, NJ 07020-1016

Phone 201-222-9370 · Fax 201-222-9392

Mailing address

424 Central Ave
Jersey City, NJ 07307-2857

Phone 201-222-9370 · Fax 201-222-9392

Authorized official

Domenico Rotoli
Attending Physician
5514866388

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