Individual
DR. JOSEPH S DERARIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
040609-1
NY
1223G0001X
General Practice Dentistry
22D100960500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1972775674
NPI
—
Enumeration date
04/02/2008
Last updated
03/17/2018
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