Bustillo, Jose R.

Bustillo, Jose R. is an sole proprietor health care provider with primary practice located at 201 Lyons Ave , Newark NJ 07112-2027. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Bustillo, Jose R. can be contacted via phone (973) 926-7000.

Contact Information

Primary practice address
201 Lyons Ave Newark NJ 07112-2027
Phone: (973) 926-7000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 25MB09447600 New Jersey
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 25MB09447600 New Jersey

Profile Details

NPI number 1679972947
LBN Legal business name Bustillo, Jose R.
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 22nd, 2014
Last updated Aug 22nd, 2014 - about 11 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.

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