Theodore A Dacosta in Orange - Internal Medicine
Theodore A Dacosta - NPI 1558395673
Theodore A Dacosta is a Internal Medicine in Orange, New Jersey. Theodore A Dacosta practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Theodore A Dacosta is 1558395673. The last update date is 2007-07-08.
Theodore A Dacosta's current location address is 85 S Jefferson Street, Orange, New Jersey. You can contact this provider via phone number 9736748866 and fax number 9736729299. The mailing address for Theodore A Dacosta is 85 S Jefferson Street, Orange, New Jersey. To know further, please read the information below!
Provider Profile Detail
Provider Name | Theodore A Dacosta |
---|---|
Address | 85 S Jefferson Street, Orange, New Jersey |
Phone Number | 9736748866 |
Fax Number | 9736729299 |
Sole Proprietor | N |
Credentials | MD |
NPI Number Detail
NPI Number | 1558395673 |
---|---|
Provider Enumeration Date | 2006-07-11 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 85 S Jefferson Street |
---|---|
City | Orange |
State | New Jersey (NJ) |
Post Code | 7050 |
Phone Number | 9736748866 |
Fax Number | 9736729299 |
Provider's Primary Taxonomy Detail
Speciality | Internal Medicine |
---|---|
Taxonomy | 207R00000X |
Licence No | 25MA05600200 |
Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
6881106 | NJ | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Theodore A Dacosta by the Centers for Medicare & Medicaid Services?
The Theodore A Dacosta has been assigned the NPI (National Provider Identifier) 1558395673. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Theodore A Dacosta is geographically located?
The Theodore A Dacosta is physically situated at the following location: 85 S Jefferson Street, Orange, NJ, 7050.
What is the area of specialization for Theodore A Dacosta, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Theodore A Dacosta is Internal Medicine, and the corresponding taxonomy code that categorizes this area of expertise is 207R00000X.
On what date did the Theodore A Dacosta receive the assignment of its 1558395673 from the Centers for Medicare & Medicaid Services?
The Theodore A Dacosta was issued its 1558395673 by the Centers for Medicare & Medicaid Services on 2006-07-11.
When was the information related to Theodore A Dacosta most recently updated or refreshed?
The details pertaining to the Theodore A Dacosta, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.