Individual
DR. PATRICK JOSEPH DISCEPOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
150 BERGEN ST, NEWARK, NJ 07103-2496
(973) 972-0470
Mailing address
150 BERGEN ST, PO BOX 1790, NEWARK, NJ 07103-2496
(973) 972-0470
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
25MA09924300
NJ
Other
Enumeration date
02/28/2012
Last updated
10/04/2016
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