Island Medical Associates,pa, NPI 1740292119
Addiction Medicine (Internal Medicine) Physician in Egg Harbor Twp, NJ, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1740292119
NPI Entity Type Organization
Provider Name Island Medical Associates,pa
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 2626 Tilton Rd, Egg Harbor Twp, NJ, US
Provider Mailing Address 2626 Tilton Rd, Egg Harbor Twp, NJ, US, 082341829
Is Sole Proprietor? No
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Organization Official

Official Name DR. MD Peter O Kuponiyi
Official Position INTERNAL MEDICINE
Phone 609-568-5000

Group Taxonomy

Taxonomy Code 193200000X
Taxonomy Name 193200000X MULTI-SPECIALTY GROUP
Definition A business group of one or more individual practitioners, who practice with different areas of specialization.

Primary Taxonomy

Taxonomy Code

207RA0401X

Taxonomy Name Addiction Medicine (Internal Medicine) Physician
Classification

Internal Medicine

Group

Allopathic & Osteopathic Physicians

License No. 25MA05948800
License State NJ
Description An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine.

Business Address

Island Medical Associates,pa
2626 Tilton Rd

Egg Harbor Twp, NJ, US

Phone: 609-568-5000
Fax: 609-568-5015

Mailing Address

Island Medical Associates,pa
2626 Tilton Rd
Egg Harbor Twp, NJ, US
ZIP 082341829
Phone: 609-568-5000
Fax: 609-568-5015

Secondary Taxonomies

Taxonomy Code Group Classification License No. State Primary?

2080A0000X

Allopathic & Osteopathic Physicians

Pediatrics

25MA04695100 NJ No

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