Individual
LEONARD DIGIOVANNI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
163 PARIS AVE, NORTHVALE, NJ 07647-2028
(201) 768-9090
(201) 768-9009
Mailing address
24 ELM ST, HARRINGTON PARK, NJ 07640-1902
(201) 784-0123
(201) 784-0065
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
25MB01994700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0048302000
AMERIHEALTH #
NJ
05
—
0267503
—
NJ
01
—
080167328
RAILROAD MDCR #
NJ
01
—
0D3121
EMPIRE HC (HP) #
NJ
01
—
0D3122
EMPIRE HC (TE) #
NJ
01
—
0D3123
EMPIRE HC (NV) #
NJ
01
—
1K5718
HEALTHNET #
NJ
01
—
4323770
AETNA PPO #
NJ
01
—
504268
AETNA HMO #
NJ
01
—
5999577
GHI PPO #
NJ
01
—
BP502
OXFORD #
NJ
Enumeration date
09/22/2005
Last updated
07/16/2008
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