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NPI Code Detail

MEDICARE: DR. RICHARD BEZOZO M.D.

MEDICARE: DR. RICHARD BEZOZO M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician25MA04727800NJ

General Provider Information

NPI Number : 1245233543
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RICHARD BEZOZO M.D.
Provider Business Mailing Address
First Line : 328 W SAINT GEORGES AVE
Second Line :
City : LINDEN
State : NJ
Zip : 07036-5638
Country : US
Telephone Number : 908-925-7519
Fax Number : 908-925-2842
Provider Business Practice Location Address
First Line : 328 W SAINT GEORGES AVE
Second Line :
City : LINDEN
State : NJ
Zip : 07036-5638
Country : US
Telephone Number : 908-925-2273
Fax Number : 908-925-2235
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/31/2005
Last Update Date : 10/17/2024

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Directions to “ DR. RICHARD BEZOZO M.D.” Practice Location

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