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Organization

FRANK DE MAIO MD PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. FRANK DE MAIO (PRESIDENT)
(856) 691-7111
Entity
Organization

Contact information

Practice address
1047 ALMOND ST, VINELAND, NJ 08360
(856) 691-7111
(856) 205-9654
Mailing address
1047 ALMOND ST, VINELAND, NJ 08360
(856) 691-7111
(856) 205-9654

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA01932000
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2635402
NJ
Enumeration date
01/09/2006
Last updated
10/06/2009
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