Doctor Name: | DR. ROBERT BRUCE THORNE |
NPI Number: | 1912115791 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 161429 |
Business Practice Address: | 7000 Kennedy Blvd East Apt 21e West New York, NJ - 070934836 |
Business Phone Number: | 2012108235 |
Business Fax Number: | 2012108235 |
Mailing Address: | 7000 Kennedy Blvd E Apt 21e, WEST NEW YORK |
State: | NJ |
Postal Code: | 070934836 |
Phone Number: | 2012108235 |
Fax Number: | 2012108235 |
NPI Enumeration Date: | 05/18/2007 |
NPI Last Update Date: | 10/01/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 161429 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NY |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |