John Daconti in Belleville - Addiction Medicine

John Daconti - NPI 1063460939

John Daconti is a Addiction Medicine in Belleville, New Jersey. John Daconti practices all healthcare services and medical treatments related to Addiction Medicine. The NPI Number for John Daconti is 1063460939. The last update date is 2013-08-15.

John Daconti's current location address is 77 Newark Ave, Belleville, New Jersey. You can contact this provider via phone number 9735282160 and fax number 9735282165. The mailing address for John Daconti is 77 Newark Ave, Belleville, New Jersey. To know further, please read the information below!

Provider Profile Detail

Provider Name John Daconti
Address 77 Newark Ave, Belleville, New Jersey
Phone Number 9735282160
Fax Number 9735282165
Sole Proprietor N
Credentials DO

NPI Number Detail

NPI Number 1063460939
Provider Enumeration Date 2006-05-04
Last Updated Date 2013-08-15

Provider Mailing Address Detail

Address 77 Newark Ave
City Belleville
State New Jersey (NJ)
Post Code 71094143
Phone Number 9735282160
Fax Number 9735282165

Provider's Primary Taxonomy Detail

Speciality Addiction Medicine
Taxonomy 207Ra0401X
Licence No XD3165075
Definition:
An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualification

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1287001 NJ --

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FAQs about John Daconti

What is the unique identification code assigned to John Daconti by the Centers for Medicare & Medicaid Services?

The John Daconti has been issued the NPI (National Provider Identifier) 1063460939. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete physical location address of John Daconti?

The John Daconti is physically situated at 77 Newark Ave, in the city of Belleville, state of NJ, with the postal code 71094143.

What is the John Daconti's area of specialization and corresponding taxonomy classification?

The John Daconti's specialty field is Addiction Medicine, and it falls under the taxonomy code 207Ra0401X, which categorizes healthcare providers based on their specialties.

On what date did John Daconti receive its 1063460939 assignment from the Centers for Medicare & Medicaid Services?

The John Daconti was assigned its 1063460939 on 2006-05-04, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details related to John Daconti most recently updated or revised?

The information pertaining to John Daconti, including its address, specialty, and other relevant details, was last updated or revised on 2013-08-15.

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