Doctor Name: | MR. ROGELIO OCDINARIA BUYO |
NPI Number: | 1043295918 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | RN, APN, C |
License Number: | 26NJ00081500 |
Business Practice Address: | 3000 Essex Rd Tinton Falls, NJ - 077532400 |
Business Phone Number: | 7326432070 |
Business Fax Number: | 7326432015 |
Mailing Address: | 5525 Research Park Dr, 4th Floor BALTIMORE |
State: | MD |
Postal Code: | 212284664 |
Phone Number: | 7326432070 |
Fax Number: | 7326432015 |
NPI Enumeration Date: | 12/13/2005 |
NPI Last Update Date: | 05/06/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2200X |
License Number: | 26NJ00081500 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |