Organization
DIEGO M FIORENTINO DO FACP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DIEGO MICHAEL FIORENTINO DO FACP (DOCTOR)
(609) 641-2062
Entity
Organization
Contact information
Practice address
200 SOUTH NEW ROAD, ABSECON, NJ 08201
(609) 641-2062
(609) 641-4633
Mailing address
PO BOX 876, ABSECON, NJ 08201
(609) 641-2062
(609) 641-4633
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MB050409
NJ
207R00000X
Internal Medicine Physician
MB069439
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1106805
—
NJ
Enumeration date
04/27/2007
Last updated
06/10/2008
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