Doctor Name: | DOROTEA DEFRANCESCO |
NPI Number: | 1013086701 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PA |
License Number: | 25MP00091300 |
Business Practice Address: | 125 Paterson St Suite 4100 New Brunswick, NJ - 089011962 |
Business Phone Number: | 7322357800 |
Business Fax Number: | 7322357013 |
Mailing Address: | 66 W Gilbert St, 2nd Floor TINTON FALLS |
State: | NJ |
Postal Code: | 077014947 |
Phone Number: | 7322120051 |
Fax Number: | 7322120713 |
NPI Enumeration Date: | 11/07/2006 |
NPI Last Update Date: | 02/08/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AS0400X |
License Number: | 25MP00091300 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Surgical |
Taxonomy Definition: |