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Individual

FRANKLIN DESPOSITO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
90 BERGEN ST, DOC 5400, NEWARK, NJ 07103-2425
(973) 972-3300
(973) 972-3310
Mailing address
30 BERGEN ST, ADMC 12 1205, NEWARK, NJ 07107-3000

Taxonomy

Speciality
Code
Description
License number
State
207SC0300X
Clinical Cytogenetics Physician
25MA02500200
NJ
207SG0201X
Clinical Genetics (M.D.) Physician
25MA02500200
NJ
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
25MA02500200
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0985805
NJ
Enumeration date
02/07/2007
Last updated
08/18/2009
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