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Individual

DR. JOSEPH MICHAEL ESTACIO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
19 OLD SCHOOLHOUSE RD, ASBURY, NJ 08802-1202
(908) 479-1037
(908) 479-4083
Mailing address
19 OLD SCHOOLHOUSE RD, ASBURY, NJ 08802-1202
(908) 479-1037
(908) 479-4083

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
25MB06178200
NJ
2085R0202X
Diagnostic Radiology Physician
Primary
OS012081
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01878709
PA
Enumeration date
04/27/2006
Last updated
06/08/2023
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