Individual
DOREA DIMAGGIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
901 W MAIN ST, FREEHOLD, NJ 07728-2537
(732) 222-2250
Mailing address
901 W MAIN ST, FREEHOLD, NJ 07728-2537
(732) 222-2250
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
25MP00579000
NJ
Other
Enumeration date
10/19/2020
Last updated
10/19/2020
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