Dr. Domenico Rotoli, DO
Internal Medicine in Edgewater, NJ. Individual provider (NPI-1).
NPI number1760700215
StatusActive
Last updated in NPPESMar 29, 2024
Details
- NPI
- 1760700215
- Entity type
- Individual (NPI-1)
- Name
- Dr. Domenico Rotoli
- Credential
- DO
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- May 7, 2010
- Certification date
- Mar 29, 2024
- Last updated
- Mar 29, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | 25MB09391900 | NJ | Yes |
Practice location
103 River RdSuite 101
Edgewater, NJ 07020-1016
Phone 201-308-8995 · Fax 201-917-3603
Mailing address
103 River RdSuite 101
Edgewater, NJ 07020-1016
Phone 201-308-8995 · Fax 201-917-3603
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