Individual
JACK P DIMARCO
Active
Individual
JACK P DIMARCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
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
Update your record
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