Individual
JOHN DACONTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
77 NEWARK AVE, SUITE 3 & 4, BELLEVILLE, NJ 07109-4143
(973) 528-2160
(973) 528-2165
Mailing address
66 SOMME ST, NEWARK, NJ 07105-3612
(973) 522-0006
(973) 522-0666
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MB03091800
NJ
207RA0401X
Addiction Medicine (Internal Medicine) Physician
XD3165075
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1287001
—
NJ
Enumeration date
05/04/2006
Last updated
08/15/2013
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