Individual
JEFFREY JASON DAGOSTINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
100 MADISON AVE, MORRISTOWN, NJ 07960-6136
(973) 971-7300
(973) 984-7019
Mailing address
PO BOX 416457, BOSTON, MA 02241-6457
(973) 656-6280
(973) 290-7495
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
25MP000721
NJ
Other
Enumeration date
05/21/2007
Last updated
04/09/2014
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