Doctor Name: | DR. YOLANDA I DAGNINO |
NPI Number: | 1336497106 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | 24MA03441900 |
Business Practice Address: | 39 Anderson Pkwy Cedar Grove, NJ - 070091111 |
Business Phone Number: | 9736223570 |
Business Fax Number: | |
Mailing Address: | 39 Anderson Pkwy, CEDAR GROVE |
State: | NJ |
Postal Code: | 070091111 |
Phone Number: | 9736223570 |
Fax Number: | |
NPI Enumeration Date: | 08/27/2012 |
NPI Last Update Date: | 08/27/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207QA0401X |
License Number: | 24MA03441900 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Family Medicine |
Taxonomy Specialization: | Addiction Medicine |
Taxonomy Definition: | A family medicine physician who specializes in the diagnosis and treatment of addictions. |