Individual
PETER JOSEPH IMBORNONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
96 PARKWAY, ROCHELLE PARK MEDICAL CENTER PA, ROCHELLE PARK, NJ 07662
(201) 291-1010
(201) 587-0313
Mailing address
96 PARKWAY, ROCHELLE PARK MEDICAL CENTER PA, ROCHELLE PARK, NJ 07662
(201) 291-1010
(201) 587-0313
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA04117600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1568531432
NPI
NJ
Enumeration date
11/07/2006
Last updated
02/18/2020
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