Individual
MR. PATRICK DISPOTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APN
Contact information
Practice address
1005 CLIFTON AVE # 2, CLIFTON, NJ 07013
(201) 218-2081
Mailing address
1005 CLIFTON AVE # 2, CLIFTON, NJ 07013-3520
(973) 777-2005
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
26NR12434400
NJ
363LF0000X
Family Nurse Practitioner
Primary
26NJ00695000
NJ
Other
Enumeration date
12/08/2016
Last updated
06/07/2018
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