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Dr. Jenna Marie Dacosta, DO
Student in an Organized Health Care Education/Training Program in Newark, New Jersey
NPI 1578138442

Jenna Marie Dacosta is a Student in an Organized Health Care Education/Training Program based in Livingston, NJ. Jenna Marie Dacosta practices in Newark, NJ and has the professional credentials of DO. The NPI Number for Jenna Marie Dacosta is 1578138442 and holds a License No. (New Jersey).

The current practice location address for Jenna Marie Dacosta is 111 Central Ave, Newark, NJ and can be reached out via phone at 973-877-5465.

Location: 111 Central Ave, Newark, NJ, 07039-5502
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1578138442
Provider Name
Jenna Marie Dacosta
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
111 Central Ave, Newark, NJ, 07039-5502
Phone Number
973-877-5465
Fax Number
Provider Enumeration Date
05/24/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
111 Central Ave
City
Newark
State
New Jersey
Zip
07102
Phone Number
973-877-5465
Fax Number
person
Provider Business Mailing Address Details
Address
111 Central Ave
City
Newark
State
New Jersey
Zip
07102
Phone Number
973-877-5465
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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