Individual
IRINEO BUSTAMANTE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1925 PACIFIC AVE, ATLANTIC CITY, NJ 08401-6713
(609) 345-4000
Mailing address
6896 W SNOWVILLE RD, BRECKSVILLE, OH 44141-3214
(440) 717-6600
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
25MA04155400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0212820000
AMERIHEALTH
NJ
01
—
30035362
KEYSTONE MERCY
NJ
05
—
3987302
—
NJ
01
—
60018849
HORIZON NJ HEALTH
NJ
01
—
P00312204
RAILROAD MEDICARE
NJ
Enumeration date
08/28/2006
Last updated
03/07/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us