Individual
DR. CYNTHIA R PRESTIGIACOMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
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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