Organization
COIRA INSTITUTE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DIEGO L COIRA MD (OWNER)
(201) 347-1447
Entity
Organization
Contact information
Practice address
9 POST RD STE M2, OAKLAND, NJ 07436-1619
(201) 904-2230
(201) 904-2232
Mailing address
9 POST RD STE M2, OAKLAND, NJ 07436-1619
(201) 904-2230
(201) 904-2232
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MA62941
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1750336038
PENDING
NJ
05
—
PENDING
—
NJ
Enumeration date
11/08/2017
Last updated
08/04/2020
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