Kelly A Difabio, DO
Emergency Medicine in Wall Township, New Jersey
1265870091- Practice location
- 1825 Rte 35, Wall Township, NJ 07719-3541
- Phone
- 732-280-2600
- Fax
- —
- Last updated
- January 19, 2018
Kelly Ann Difabio is an Emergency Medicine based in Wall Township, NJ. Kelly Ann Difabio practices in Wall Township, NJ and has the professional credentials of DO. The NPI Number for Kelly Ann Difabio is 1265870091 and holds a License No. 25MB10085300 (NJ). The current practice location address for Kelly Ann Difabio is 1825 Rte 35, Wall Township, NJ 07719-3541 and can be reached out via phone at 732-280-2600.
Provider Profile Details
- NPI Number
- 1265870091
- Provider Name
- Kelly Ann Difabio
- Credential
- DO
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 1825 Rte 35, Wall Township, NJ 07719-3541
- Phone Number
- 732-280-2600
- Primary Taxonomy
- Emergency Medicine · 207P00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- June 14, 2013
- Last Update Date
- January 19, 2018
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1825 Rte 35
Wall Township, NJ 07719-3541 - City
- Wall Township
- State
- New Jersey
- Zip
- 07719-3541
- Phone Number
- 732-280-2600
Provider Business Mailing Address Details
- Address
- 83 Vanard Dr
Brick, NJ 08723-7441 - City
- Brick
- State
- NJ
- Zip
- 08723-7441
- Phone Number
- 610-203-5910
License Information
- License Number
- 25MB10085300
- License State
- NJ
- Taxonomy
- Emergency Medicine · 207P00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Kelly A Difabio, DO?
The NPI number of Kelly A Difabio, DO is 1265870091. It was assigned on June 14, 2013 and is currently active in the NPPES registry.
What is the specialty of Kelly A Difabio, DO?
Kelly A Difabio, DO is registered under the primary taxonomy Emergency Medicine (code 207P00000X), licensed in NJ under license number 25MB10085300.
Where does Kelly A Difabio, DO practice?
The practice location is 1825 Rte 35, Wall Township, NJ 07719-3541. The office can be reached at 732-280-2600 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1265870091 directly on the NPPES registry website.