Dr. Richard Barry Bullock
Internist Geriatric Medicine
225 May Street Suite E
Edison
, New Jersey 08837
Dr. Richard Barry Bullock
Internist Geriatric Medicine
225 May Street Suite E
Edison
, New Jersey 08837
(732) 661-2022
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About
Features
Specialties
- Internist
- Geriatric Medicine
Languages spoken
- English
Location
First Address
- Dr. Richard Barry Bullock
- 225 May Street Suite E
- Edison, NJ
- Zip : 08837
- Fax : (732) 661-2022
- Phone : (732) 661-2020
Second Address
- Dr. Richard Barry Bullock
- 225 May Street Suite E
- Edison, NJ
- Zip : 08837
- Fax : (732) 661-2022
- Phone : (732) 661-2020
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207R00000X | Internist | 25MA04808400 | NJ |
| Y | 111NI0900X | Internist | 25MA04808400 | NJ |
| N | 207RG0300X | Geriatric Medicine | 25MA04808400 | NJ |
National Provider Identifier
| NPI | 1093704355 |
|---|---|
| Provider Name | Dr. Richard Barry Bullock |
| First Address | Edison, NJ 08837 |
| Second Address | Edison, NJ 08837 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 19/10/2005 |
| Last Update Date | 09/06/2015 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0468801 | (05) | NJ |
| C06897 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.