Individual
DINO NICOL E. DEJESUS
Active
Individual
DINO NICOL E. DEJESUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
Primary
25MB07828100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010046637
AMERICHOICE
NJ
05
—
0172014
—
NJ
01
—
1899455/9558120
AETNA
NJ
05
—
27845300-0
—
FL
01
—
310401
AVMED
FL
01
—
3551981000
AMERIHEALTH
NJ
01
—
3K8753
HEALTHNET
NJ
01
—
46931
UNIVERSITY HEALTH PLAN
NJ
01
—
60042586
HORIZON NJ HEALTH
NJ
01
—
8107063
CIGNA
FL
01
—
8107063
CIGNA
NJ
01
—
96156
BLUE CROSS/BLUE SHIELD
FL
01
—
P00459920
RAILROAD MEDICARE
FL
01
—
P3947633
OXFORD
NJ
Enumeration date
03/29/2007
Last updated
12/16/2021
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