Organization
DENNIS DIGIACOMO MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. APRIL MCCARTHY (PRACTICE MANAGER)
(973) 371-8960
Entity
Organization
Contact information
Practice address
1072 S ORANGE AVE, NEWARK, NJ 07106-1516
(973) 623-5309
(973) 399-8562
Mailing address
PO BOX 387, SOUTH ORANGE, NJ 07079-0387
(973) 371-8960
(973) 371-8961
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
25MA03818900
NJ
174400000X
Specialist
MA1029244
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1649218421
INDIVIDUAL NPI
—
01
—
2K9656
HEALTHNET
NJ
01
—
EP023
OXFORD
NJ
Enumeration date
01/29/2007
Last updated
09/14/2007
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