Organization
ROBERT DESIMONE FUNCTIONAL MEDICINE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT ANTHONY DESIMONE MD (OWNER)
(973) 886-2195
Entity
Organization
Contact information
Practice address
254 COLUMBIA TPKE STE 200, FLORHAM PARK, NJ 07932-1225
(973) 886-2195
Mailing address
PO BOX 508, MONTVILLE, NJ 07045-0508
(973) 886-2195
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
03/11/2025
Last updated
03/18/2025
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