Irineo Bustamante Jr., MD
Emergency Medicine in Atlantic City, New Jersey
1154439420- Practice location
- 1925 Pacific Ave, Atlantic City, NJ 08401-6713
- Phone
- 609-345-4000
- Fax
- —
- Last updated
- March 7, 2023
Irineo Bustamante is an Emergency Medicine based in Atlantic City, NJ. Irineo Bustamante practices in Atlantic City, NJ and has the professional credentials of MD. The NPI Number for Irineo Bustamante is 1154439420 and holds a License No. 25MA04155400 (NJ). The current practice location address for Irineo Bustamante is 1925 Pacific Ave, Atlantic City, NJ 08401-6713 and can be reached out via phone at 609-345-4000.
Provider Profile Details
- NPI Number
- 1154439420
- Provider Name
- Irineo Bustamante
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 1925 Pacific Ave, Atlantic City, NJ 08401-6713
- Phone Number
- 609-345-4000
- Primary Taxonomy
- Emergency Medicine · 207P00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- August 28, 2006
- Last Update Date
- March 7, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1925 Pacific Ave
Atlantic City, NJ 08401-6713 - City
- Atlantic City
- State
- New Jersey
- Zip
- 08401-6713
- Phone Number
- 609-345-4000
Provider Business Mailing Address Details
- Address
- 6896 W Snowville RD
Brecksville, OH 44141-3214 - City
- Brecksville
- State
- OH
- Zip
- 44141-3214
- Phone Number
- 440-717-6600
License Information
- License Number
- 25MA04155400
- License State
- NJ
- Taxonomy
- Emergency Medicine · 207P00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Irineo Bustamante Jr., MD?
The NPI number of Irineo Bustamante Jr., MD is 1154439420. It was assigned on August 28, 2006 and is currently active in the NPPES registry.
What is the specialty of Irineo Bustamante Jr., MD?
Irineo Bustamante Jr., MD is registered under the primary taxonomy Emergency Medicine (code 207P00000X), licensed in NJ under license number 25MA04155400.
Where does Irineo Bustamante Jr., MD practice?
The practice location is 1925 Pacific Ave, Atlantic City, NJ 08401-6713. The office can be reached at 609-345-4000 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1154439420 directly on the NPPES registry website.