Individual
RALPH SAMUEL DAGOSTINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
450 BERGEN ST, HARRISON, NJ 07029
(973) 484-6900
(973) 484-0029
Mailing address
450 BERGEN ST, HARRISON, NJ 07029
(973) 484-6900
(973) 484-0029
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
031348
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D01953100
CPS
NJ
Enumeration date
08/14/2006
Last updated
03/07/2023
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