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Organization
ROTOLI MEDICAL CONSULTANTS LLC
Active
Organization
ROTOLI MEDICAL CONSULTANTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOMENICO ROTOLI D.O, (ATTENDING PHYSICIAN)
(551) 486-6388
Entity
Organization
Contact information
Practice address
103 RIVER RD STE 1B, EDGEWATER, NJ 07020-1016
(201) 222-9370
(201) 222-9392
Mailing address
424 CENTRAL AVE, JERSEY CITY, NJ 07307-2857
(201) 222-9370
(201) 222-9392
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MB09391900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25MB09391900
MEDICAL LICENSE
NJ
Enumeration date
07/09/2015
Last updated
07/09/2015
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