Individual
JOSEPH F ACQUAVIVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
140 PROSPECT AVE, SUITE 4, HACKENSACK, NJ 07601-2255
(201) 488-6543
(201) 488-6916
Mailing address
205 CARMAL CT, WYCKOFF, NJ 07481-2164
(201) 891-9059
(201) 488-6916
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
50725
NJ
Other
Enumeration date
01/05/2007
Last updated
07/08/2007
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