Organization
BUENA FAMILY PRACTICE CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN A PIROLLI (PARTNER)
(856) 697-0300
Entity
Organization
Contact information
Practice address
1315 HARDING HWY, RICHLAND, NJ 08350-0310
(856) 697-0300
Mailing address
1315 HARDING HIGHWAY, PO BOX 310, RICHLAND, NJ 08350
(856) 697-0300
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MB40881
NJ
207Q00000X
Family Medicine Physician
MB64919
NJ
207R00000X
Internal Medicine Physician
MB38680
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0115968001
AMERIHEALTH
NJ
01
—
1528108917
MEDICARE NPI
NJ
05
—
3423603
—
NJ
01
—
552614
AETNA
NJ
01
—
CF1937
RAILROAD MEDICARE
NJ
Enumeration date
02/07/2007
Last updated
05/12/2008
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