Individual
DIMITRI CEFALU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3000 ESSEX RD, TINTON FALLS, NJ 07753-2631
(732) 643-2070
(732) 643-2015
Mailing address
1900 ROUTE 35, STE 300, OAKHURST, NJ 07755-2758
(732) 531-5509
(732) 531-5164
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MA04689800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0021890
—
NJ
01
—
04-09805
EVERCARE
—
01
—
5221142040
BCBS OF NJ
—
Enumeration date
07/07/2006
Last updated
09/16/2019
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