| Robert B Thorne Md Pllc | |
|
1625 Kennedy Blvd North Bergen NJ 07047-6302 | |
| (201) 210-8235 | |
| Not Available |
| Full Name | Robert B Thorne Md Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1625 Kennedy Blvd, North Bergen, New Jersey |
| Authorized Official Name and Position | Robert B Thorne (DOCTOR/CEO) |
| Authorized Official Contact | 2012108235 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Robert B Thorne Md Pllc 1625 Kennedy Blvd North Bergen NJ 07047-6302 Ph: (201) 210-8235 | Robert B Thorne Md Pllc 1625 Kennedy Blvd North Bergen NJ 07047-6302 Ph: (201) 210-8235 |
| NPI Number | 1871920322 |
|---|---|
| Provider Enumeration Date | 09/30/2013 |
| Last Update Date | 09/30/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871920322 | NPI | - | NPPES |
| 121861 | Other | NJ | MEDICARE ID |
| 14X071 | Other | NY | MEDICARE ID- TYPE UNSPECIFIED |
| 121861 | Other | PA | MEDICARE ID- TYPE UNSPECIFIED |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 25MA03992200 (New Jersey) | Primary |
| 207R00000X | Internal Medicine | 161429-1 (New York) | Secondary |
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