Individual
DR. GIORGIO T DIVINCENZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
312 ACADEMY STREET, JERSEY CITY, NJ 07306
(201) 216-9191
(201) 216-1543
Mailing address
312 ACADEMY STREET, JERSEY CITY, NJ 07306
(201) 216-9191
(201) 216-1543
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
17226
NJ
1223P0300X
Periodontics
42983
NY
Other
Enumeration date
08/24/2006
Last updated
06/16/2014
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