Individual
JOSEPH PIACENTILE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
177 MAIN STREET, FORT LEE, NJ 07024
(201) 787-5010
(201) 782-0224
Mailing address
177 MAIN STREET, FORT LEE, NJ 07024
(201) 787-5010
(201) 782-0224
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
25MA04713900
NJ
208D00000X
General Practice Physician
MD045563E
PA
Other
Enumeration date
04/29/2008
Last updated
04/29/2008
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