Individual
JODY CHRISTOPHER DIGIACOMO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1001 W MAIN ST, SUITE A, FREEHOLD, NJ 07728-2579
(732) 845-5001
(732) 303-0114
Mailing address
1001 W MAIN ST, SUITE A, FREEHOLD, NJ 07728-2579
(732) 845-5001
(732) 303-0114
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MA053971
NJ
2086S0102X
Surgical Critical Care Physician
MA053971
NJ
2086S0127X
Trauma Surgery Physician
MA053971
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5164001
—
NJ
Enumeration date
06/28/2006
Last updated
03/25/2014
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