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Individual
JOSEPH J DISA
Active
Individual
JOSEPH J DISA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
203962
NY
Other
Enumeration date
12/13/2005
Last updated
04/07/2015
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