Doctor Name: | JOSEPH PIACENTILE |
NPI Number: | 1265607410 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | MD045563E |
Business Practice Address: | 177 Main Street Fort Lee, NJ - 07024 |
Business Phone Number: | 2017875010 |
Business Fax Number: | 2017820224 |
Mailing Address: | 177 Main Street, FORT LEE |
State: | NJ |
Postal Code: | 07024 |
Phone Number: | 2017875010 |
Fax Number: | 2017820224 |
NPI Enumeration Date: | 04/29/2008 |
NPI Last Update Date: | 04/29/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | MD045563E |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | PA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |