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Contact Information

BRUCE A DECOTIIS, MD
1673 HIGHWAY 88 WEST
BRICK, NJ08724
 Phone: 732-458-2000
 Fax: 732-458-4523
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Allergy & Immunology

207K00000X 03 Physician/Allergy/ Immunology
Indicates primary specialty

NPI Profile & details for BRUCE A DECOTIIS · (Male)

NPI # 1750494613
Status Active
Credentials MD
Entity Individual
Enumeration date 08/16/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers
  • NJ License # 032368
  • NJ Medicaid 4770005
Hospital affiliation(s)
  • OCEAN MEDICAL CENTER - (Acute Care)
    425 JACK MARTIN BLVD
    BRICK, NJ 08724
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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