Organization
J C DIGIACOMO, MD., LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JODY C DIGIACOMO MD (SURGEON)
(732) 683-0888
Entity
Organization
Contact information
Practice address
900 W MAIN ST, SUITE 4, FREEHOLD, NJ 07728-2523
(732) 303-9584
(732) 294-1940
Mailing address
900 W MAIN ST, SUITE 4, FREEHOLD, NJ 07728-2523
(732) 303-9584
(732) 294-1940
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
25MA05397100
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5164001
—
NJ
Enumeration date
05/01/2007
Last updated
06/06/2008
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