Joseph Disaverio MD PA

NPI #1134244841 in Ridgewood, New Jersey

Provider Information

NPI Number: 1134244841
Entity Type: Organization
Organization Name: Joseph Disaverio MD PA
Primary Specialty: Surgery
Enumeration Date: Mar 20, 2007
Last Updated: May 22, 2008

Practice Location

Address: 140 CHESTNUT ST
Address 2: SUITE 301
City: Ridgewood
State: New Jersey
ZIP Code: 07450-2599
Phone: (201) 447-2777

Authorized Official

Name: DR. JOSEPH DISAVERIO, MD
Title: PRESIDENT
Phone: (201) 447-2777

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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