Theresa Maria Disandro in Marlton - Gastroenterology

Theresa Maria Disandro - NPI 1750544391

Theresa Maria Disandro is a Gastroenterology in Marlton, New Jersey. Theresa Maria Disandro practices all healthcare services and medical treatments related to Gastroenterology. The NPI Number for Theresa Maria Disandro is 1750544391. The last update date is 2020-10-22.

Theresa Maria Disandro's current location address is 301 Lippincott Dr Ste 410, Marlton, New Jersey. You can contact this provider via phone number 8563550340 and fax number 8563550330. The mailing address for Theresa Maria Disandro is 301 Lippincott Dr Ste 410, Marlton, New Jersey. To know further, please read the information below!

Provider Profile Detail

Provider Name Theresa Maria Disandro
Address 301 Lippincott Dr Ste 410, Marlton, New Jersey
Phone Number 8563550340
Fax Number 8563550330
Sole Proprietor N
Credentials DO

NPI Number Detail

NPI Number 1750544391
Provider Enumeration Date 2008-07-03
Last Updated Date 2020-10-22

Provider Mailing Address Detail

Address 301 Lippincott Dr Ste 410
City Marlton
State New Jersey (NJ)
Post Code 80534197
Phone Number 8563550340
Fax Number 8563550330

Provider's Primary Taxonomy Detail

Speciality Gastroenterology
Taxonomy 207Rg0100X
Licence No 25MB08554700
Definition:
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and perf

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
198561 NJ --
102316770 PA --

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FAQs about Theresa Maria Disandro

What is the unique 10-digit identifier code assigned to Theresa Maria Disandro by the Centers for Medicare & Medicaid Services?

The Theresa Maria Disandro has been issued the NPI (National Provider Identifier) 1750544391 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Where is the Theresa Maria Disandro located?

The Theresa Maria Disandro is located at 301 Lippincott Dr Ste 410, Marlton, NJ 80534197.

What is the area of specialization for Theresa Maria Disandro, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Theresa Maria Disandro is Gastroenterology, and the corresponding taxonomy code that categorizes this area of expertise is 207Rg0100X.

On what date did the Theresa Maria Disandro receive its 1750544391 assignment from the Centers for Medicare & Medicaid Services?

The Theresa Maria Disandro was assigned its 1750544391 by the Centers for Medicare & Medicaid Services on 2008-07-03.

As of what date were the details pertaining to Theresa Maria Disandro last refreshed?

The information related to the Theresa Maria Disandro, including its address, specialty, and other relevant details, was last updated on 2020-10-22.

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