Individual
DR. JOSEPH JOHN DIVINCENZO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
(708) 216-9000
Mailing address
1369 OLD YORK RD, ABINGTON, PA 19001-3411
(215) 884-1776
(215) 884-0171
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
036158645
IL
2084P0800X
Psychiatry Physician
MD053850L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01672830R
—
PA
Enumeration date
07/21/2006
Last updated
03/26/2024
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