Individual
DR. DAVID D. PICASCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
77 SCHANCK RD, SUITE B-3, FREEHOLD, NJ 07728-2964
(732) 462-9800
(732) 308-1647
Mailing address
7 RAINTREE CT, HOLMDEL, NJ 07733-2814
(732) 842-0242
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
MA51607
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22-2324992
TAX ID #
NJ
Enumeration date
07/18/2006
Last updated
07/08/2007
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