Organization
DEVITO INTERNAL MEDICINE AND PEDIATRICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARC JOSEPH DEVITO M.D. (OWNER/PHYSICIAN)
(111) 111-1111
Entity
Organization
Contact information
Practice address
180 WHITE RD, SUITE 205, LITTLE SILVER, NJ 07739-1166
(111) 111-1111
Mailing address
180 WHITE ROAD, SUITE 205, LITTLE SILVER, NJ 07739
(111) 111-1111
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA08232300
NJ
208000000X
Pediatrics Physician
25MA08232300
NJ
Other
Enumeration date
06/13/2008
Last updated
11/20/2012
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