Organization
BRIGANTINE EYE CARE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EUGENE DIMARCO DO (PHYSICIAN/OWNER)
(609) 266-8000
Entity
Organization
Contact information
Practice address
4274 HARBOUR BEACH BLVD, BRIGANTINE, NJ 08203-1362
(609) 266-8000
(609) 266-9555
Mailing address
4274 HARBOUR BEACH BLVD, BRIGANTINE, NJ 08203-1362
(609) 266-8000
(609) 266-9555
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MB54894
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
032310
AMERIHEALTH PPO
NJ
01
—
042383
RAILROAD MEDICARE
NJ
01
—
0443917000
AMERIHEALTH HMO
NJ
05
—
5491207
—
NJ
Enumeration date
10/25/2006
Last updated
07/02/2010
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