Individual
CLAUDIO I. DICOVSKIY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
681 BROADWAY, PATERSON, NJ 07514
(973) 278-1000
(973) 278-1709
Mailing address
681 BROADWAY, PATERSON, NJ 07514
(973) 278-1000
(973) 278-1709
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MA061318
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25MA06131800
MEDICAL LICENSE
NJ
Enumeration date
10/23/2006
Last updated
03/17/2022
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