Provider Demographics
NPI:1912234006
Name:INTERNAL MEDICINE PRACTICE,LLC.
Entity Type:Organization
Organization Name:INTERNAL MEDICINE PRACTICE,LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ATTENDING
Authorized Official - Prefix:DR
Authorized Official - First Name:BOZENA
Authorized Official - Middle Name:WANDA
Authorized Official - Last Name:BITNER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:973-303-9056
Mailing Address - Street 1:312 BELLEVILLE TPKE
Mailing Address - Street 2:SUITE 1C
Mailing Address - City:NORTH ARLINGTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07031-6463
Mailing Address - Country:US
Mailing Address - Phone:201-997-4040
Mailing Address - Fax:201-997-4040
Practice Address - Street 1:312 BELLEVILLE TPKE
Practice Address - Street 2:SUITE 1C
Practice Address - City:NORTH ARLINGTON
Practice Address - State:NJ
Practice Address - Zip Code:07031-6463
Practice Address - Country:US
Practice Address - Phone:201-997-4040
Practice Address - Fax:201-997-4040
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-10
Last Update Date:2009-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty