Organization
MARI DIPASQUALE, DO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARI DIPASQUALE DO (PSYCHIATRIST)
(732) 339-9886
Entity
Organization
Contact information
Practice address
764 EASTON AVE, SUITE 2, SOMERSET, NJ 08873-1856
(732) 339-9886
(732) 937-8081
Mailing address
764 EASTON AVE, SUITE 2, SOMERSET, NJ 08873-1856
(732) 339-9886
(732) 937-8081
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
25MB05322300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1457405979
INDIVIDUAL NPI #
—
Enumeration date
05/10/2007
Last updated
08/22/2020
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