institution
Dennis Digiacomo Md Llc
Specialist in Newark, New Jersey
NPI 1467598177

Dennis Digiacomo Md Llc is a Specialist based in South Orange, NJ. Dennis Digiacomo Md Llc practices in Newark, NJ. The NPI Number for Dennis Digiacomo Md Llc is 1467598177 and holds a License No. 25MA03818900 (New Jersey).

The current practice location address for Dennis Digiacomo Md Llc is 1072 S Orange Ave, Newark, NJ and can be reached out via phone at 973-623-5309 and via fax at 973-399-8562.

Location: 1072 S Orange Ave, Newark, NJ, 07079-0387
institution
Provider Profile Details
NPI Number
1467598177
Provider Name
Dennis Digiacomo Md Llc
Credential
Provider Entity Type
Organization
Address
1072 S Orange Ave, Newark, NJ, 07079-0387
Phone Number
973-623-5309
Fax Number
973-399-8562
Provider Enumeration Date
01/29/2007
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2K9656 01 NJ HEALTHNET
1649218421 01 INDIVIDUAL NPI
EP023 01 NJ OXFORD
institution
Provider Business Practice Location Address Details
Address
1072 S Orange Ave
City
State
Zip
07106-1516
Phone Number
973-623-5309
Fax Number
973-399-8562
person
Provider Business Mailing Address Details
Address
1072 S Orange Ave
City
State
Zip
07106-1516
Phone Number
973-623-5309
Fax Number
973-399-8562
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
25MA03818900 (New Jersey)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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