Individual
LOUIS THOMAS DIFAZIO JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
435 SOUTH ST, MORRISTOWN, NJ 07960-6422
(973) 971-7200
Mailing address
PO BOX 23831, NEWARK, NJ 07189-0001
(973) 971-5595
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
25MA05768200
NJ
Other
Enumeration date
03/02/2006
Last updated
05/05/2015
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