Doctor Name: | LEONARD DIGIOVANNI |
NPI Number: | 1013903228 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | 25MB01994700 |
Business Practice Address: | 163 Paris Ave Northvale, NJ - 076472028 |
Business Phone Number: | 2017689090 |
Business Fax Number: | 2017689009 |
Mailing Address: | 24 Elm St, HARRINGTON PARK |
State: | NJ |
Postal Code: | 076401902 |
Phone Number: | 2017840123 |
Fax Number: | 2017840065 |
NPI Enumeration Date: | 09/22/2005 |
NPI Last Update Date: | 07/16/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 25MB01994700 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |