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Organization
ROBERT B THORNE MD PLLC
Active
Organization
ROBERT B THORNE MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT B THORNE JR. M.D. (DOCTOR/CEO)
(201) 210-8235
Entity
Organization
Contact information
Practice address
1625 KENNEDY BLVD, NORTH BERGEN, NJ 07047-6302
(201) 210-8235
Mailing address
1625 KENNEDY BLVD, NORTH BERGEN, NJ 07047-6302
(201) 210-8235
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
161429-1
NY
207R00000X
Internal Medicine Physician
Primary
25MA03992200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
121861
MEDICARE ID
NJ
01
—
121861
MEDICARE ID- TYPE UNSPECIFIED
PA
01
—
14X071
MEDICARE ID- TYPE UNSPECIFIED
NY
Enumeration date
09/30/2013
Last updated
09/30/2013
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