Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 25MA08421000 | NJ |
N | 111NI0900X | Internist | 25MA08421000 | NJ |
N | 207RH0000X | Hematologist | MD447230 | PA |
N | 207RH0000X | Hematologist | ME149070 | FL |
N | 207RX0202X | Medical Oncology | MD447230 | PA |
Y | 207RX0202X | Medical Oncology | ME149070 | FL |
NPI | 1184884090 |
---|---|
Provider Name | Dr. Marijo Bilusic |
First Address | Miami, FL 33136-1002 |
Second Address | Miami, FL 33136-2107 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/06/2008 |
Last Update Date | 08/07/2021 |