Individual
JOSEPH R. DEPASQUALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5 FRANKLIN AVE, SUITE 109, BELLEVILLE, NJ 07109-3532
(973) 759-7240
(973) 759-7243
Mailing address
5 FRANKLIN AVE, SUITE 109, BELLEVILLE, NJ 07109-3532
(973) 759-7240
(973) 759-7243
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA04575400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0070823
—
NJ
Enumeration date
01/30/2006
Last updated
10/01/2013
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