| Doctor Name: | PETER JOSEPH IMBORNONE |
| NPI Number: | 1568531432 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | MA41176 |
| Business Practice Address: | 96 Parkway Rochelle Park Medical Center Pa Rochelle Park, NJ - 07662 |
| Business Phone Number: | 2012911010 |
| Business Fax Number: | 2015870313 |
| Mailing Address: | 96 Parkway, Rochelle Park Medical Center Pa ROCHELLE PARK |
| State: | NJ |
| Postal Code: | 07662 |
| Phone Number: | 2012911010 |
| Fax Number: | 2015870313 |
| NPI Enumeration Date: | 11/07/2006 |
| NPI Last Update Date: | 01/14/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207RA0000X |
| License Number: | MA41176 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Internal Medicine |
| Taxonomy Specialization: | Adolescent Medicine |
| Taxonomy Definition: | An internist who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |