J C Digiacomo, Md., Llc in Freehold - Specialist

J C Digiacomo, Md., Llc - NPI 1104047901

J C Digiacomo, Md., Llc is a Specialist in Freehold, New Jersey. J C Digiacomo, Md., Llc practices all healthcare services and medical treatments related to Specialist. The NPI Number for J C Digiacomo, Md., Llc is 1104047901. The last update date is 2008-06-06.

J C Digiacomo, Md., Llc's current location address is 900 W Main St, Freehold, New Jersey. You can contact this provider via phone number 7323039584 and fax number 7322941940. The mailing address for J C Digiacomo, Md., Llc is 900 W Main St, Freehold, New Jersey. To know further, please read the information below!

Provider Profile Detail

Provider Organization J C Digiacomo, Md., Llc
Address 900 W Main St, Freehold, New Jersey
Phone Number 7323039584
Fax Number 7322941940
Sole Proprietor --
Credentials --

Authorized Official

Title or Position SURGEON
Authorized Official Name Digiacomo C Jody
Credentials MD
Telephone Number 7326830888

NPI Number Detail

NPI Number 1104047901
Provider Enumeration Date 2007-05-01
Last Updated Date 2008-06-06

Provider Mailing Address Detail

Address 900 W Main St
City Freehold
State New Jersey (NJ)
Post Code 77282523
Phone Number 7323039584
Fax Number 7322941940

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No 25MA05397100
Definition:
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
5164001 NJ --

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FAQs about J C Digiacomo, Md., Llc

What is the unique 10-digit identifier code issued to J C Digiacomo, Md., Llc by the Centers for Medicare & Medicaid Services?

The J C Digiacomo, Md., Llc has been assigned the NPI (National Provider Identifier) 1104047901 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Where is the J C Digiacomo, Md., Llc located?

The J C Digiacomo, Md., Llc is located at 900 W Main St, Freehold, NJ 77282523.

What is the area of specialization for J C Digiacomo, Md., Llc, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for J C Digiacomo, Md., Llc is Specialist, and the corresponding taxonomy code that categorizes this area of expertise is 174400000X.

On what date did J C Digiacomo, Md., Llc receive its 1104047901 assignment from the Centers for Medicare & Medicaid Services?

The J C Digiacomo, Md., Llc was assigned its 1104047901 on 2007-05-01, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information regarding J C Digiacomo, Md., Llc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to J C Digiacomo, Md., Llc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-06-06.

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