Individual
DR. DENNIS A. DIGIACOMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
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
207R00000X
Internal Medicine Physician
Primary
25MA03818900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1467598177
GROUP NPI
—
01
—
2K9656
HEALTHNET
NJ
01
—
DD326AE
EMPIRE BC/BS
NJ
01
—
EP023
OXFORD
NJ
Enumeration date
06/03/2006
Last updated
02/29/2008
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