Bruce A. Decotiis Md Pa

LBN: Bruce A. Decotiis Md Pa
Bruce A. Decotiis Md Pa is an health care organization with primary practice located at 1673 Route 88 , Brick NJ 08724-3050. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Allergy & Immunology, which is considered as the primary health care specialty. Bruce A. Decotiis Md Pa can be contacted via phone (732) 458-2000, or through Decotiis, Bruce A via phone (732) 458-2000.

Contact Information

Primary practice address
1673 Route 88 Brick NJ 08724-3050
Phone: (732) 458-2000
Fax: (732) 458-4523
Website:
Map and Directions
Authorized official contact:
Name: Decotiis, Bruce A Doctor of Medicine (MD)
Phone: (732) 458-2000

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Allergy & Immunology 207K00000X

Profile Details

NPI number 1861579559
LBN Legal business name Bruce A. Decotiis Md Pa
DBA Doing business as
Authorized official Decotiis, Bruce A Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 1st, 2006
Last updated Dec 28th, 2007 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1861579559 NPPES
New Jersey MEDICAID 3072703

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