Organization
OAKLAND PRIMARY CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT DELAGENTE DO (OWNER)
(973) 270-6246
Entity
Organization
Contact information
Practice address
19 YAWPO AVE STE 1, OAKLAND, NJ 07436-2739
(973) 270-6246
(201) 644-7315
Mailing address
19 YAWPO AVE STE 1, OAKLAND, NJ 07436-2739
(973) 270-6246
(201) 644-7315
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
PENDING
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PENDING
PENDING
NJ
Enumeration date
10/05/2017
Last updated
10/05/2017
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