Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JOSE R. BUSTILLO, D.O
Active Sole ProprietorDR. JOSE R. BUSTILLO, D.O is a Internal Medicine healthcare provider located in NEWARK, New Jersey. NPI 1679972947 is currently active in the NPPES registry. Verify at CMS.
Internal Medicine · NEWARK, NJ
Registration Details
- NPI Number
- 1679972947
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 22, 2014 (11.934409183173 yrs)
- Last Updated
- Aug 22, 2014
- Licenses
-
25MB09447600 (NJ)25MB09447600 (NJ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
201 LYONS AVENEWARK, NJ, 071122027Browse NJ providers · Browse ZIP 07112
- Phone
- 9739267000
- Primary Specialty
-
Internal Medicine
207R00000X
- Additional Specialty
- Pediatrics
Other Internal Medicine Providers in NEWARK, NJ
| Name | Credential | NPI |
|---|---|---|
| DR. EPIFANIA LOPEZ RAMIREZ | M.D. | 1013918325 |
| DR. TAHSEEN ASLAM | MD | 1295737021 |
| DR. DAIVA BRAZAITIS | MD | 1477555217 |
| JOSE R GOMEZ | MD | 1104818129 |
| KAPPUKALAR A ZIYAAUDHIN | MD | 1033101035 |
| DR. ALEXANDER B DELGRA | MD | 1154313526 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.