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Individual

JACK P DIMARCO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1600 HADDON AVE, ROOM 122, CAMDEN, NJ 08103-3101
(856) 757-3879
(856) 757-3760
Mailing address
PO BOX 8505, CHERRY HILL, NJ 08002-0505
(856) 755-1616
(856) 755-0098

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
25MA04166400
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0108561000
AMERIHEALTH / KEYSTONE
01
0301021001
CIGNA
05
0348309
NJ
01
1092688
HORIZON NJ HEALTH
NJ
01
19071
MHCS
01
4197831
AETNA
01
484625
INDEPENDENCE BCBS
01
853002
CCN
01
F01770E4
HEALTHNET
01
JS280
OXFORD
Enumeration date
06/15/2006
Last updated
07/08/2007
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