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Organization

JOSEPH DISAVERIO MD PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JOSEPH DISAVERIO MD (PRESIDENT)
(201) 447-2777
Entity
Organization

Contact information

Practice address
140 CHESTNUT ST, SUITE 301, RIDGEWOOD, NJ 07450-2599
(201) 447-2777
(201) 445-3835
Mailing address
140 CHESTNUT ST, SUITE 301, RIDGEWOOD, NJ 07450-2599
(201) 447-2777
(201) 445-3835

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary

Other

Enumeration date
03/20/2007
Last updated
05/22/2008
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