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Individual

DR. CYNTHIA R PRESTIGIACOMO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
80 BLOOMFIELD AVENUE, SECOND FLOOR, CALDWELL, NJ 07006-5342
(973) 618-9990
(973) 618-9991
Mailing address
LB# 7550 PO BOX 95000, PHILADELPHIA, PA 19195-7550
(844) 362-1735
(973) 290-7495

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
25MA06407700
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1466998
UNITED HEALTHCARE
NJ
01
1K2417
HEALTHNET
NJ
01
223685542
TAX ID
NJ
01
413844
CIGNA
NJ
01
545631
EMPIRE
NJ
01
5932171
AETNA
NJ
01
J7679
HORIZON MANAGED CARE
NJ
01
P410290
OXFORD
NJ
Enumeration date
10/04/2006
Last updated
11/05/2017
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