JOSE R. BUSTILLO

NEWARK, NJ
NPI1679972947
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207R00000X Internal Medicine
(Licence: NJ  25MB09447600)
Additional Taxonomies208000000X Pediatrics
(Licence: NJ  25MB09447600)
Enumeration Date2014-08-22
Last Update Date2014-08-22
Business Address
Dr. JOSE R. BUSTILLO D.O
201 LYONS AVE
NEWARK, NJ 07112-2027
Phone number: 973-926-7000
Mailing Address
Dr. JOSE R. BUSTILLO D.O
2414 EDWARD STEC BLVD
EDISON, NJ 08837-7008
Phone number: 908-451-2200