| Rotoli Medical Consultants Llc | |
|
103 River Rd Ste 1b Edgewater NJ 07020-1016 | |
| (201) 222-9370 | |
| (201) 222-9392 |
| Full Name | Rotoli Medical Consultants Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 103 River Rd Ste 1b, Edgewater, New Jersey |
| Authorized Official Name and Position | Domenico Rotoli (ATTENDING PHYSICIAN) |
| Authorized Official Contact | 5514866388 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rotoli Medical Consultants Llc 424 Central Ave Jersey City NJ 07307-2857 Ph: (201) 222-9370 | Rotoli Medical Consultants Llc 103 River Rd Ste 1b Edgewater NJ 07020-1016 Ph: (201) 222-9370 |
| NPI Number | 1669855565 |
|---|---|
| Provider Enumeration Date | 07/09/2015 |
| Last Update Date | 07/09/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669855565 | NPI | - | NPPES |
| 25MB09391900 | Other | NJ | MEDICAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 25MB09391900 (New Jersey) | Primary |
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