Individual
DR. BRUCE ANTHONY DECOTIIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1673 HIGHWAY 88 WEST, BRICK, NJ 08724
(732) 458-2000
(732) 458-4523
Mailing address
1673 HIGHWAY 88 WEST, BRICK, NJ 08724
(732) 458-2000
(732) 458-4523
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
032368
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4770005
—
NJ
Enumeration date
08/16/2006
Last updated
07/08/2007
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