Organization Name: | FREDERICK A. DEPAOLA, MD, LLC |
NPI Number: | 1992012371 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CHARLOTTE WHITE (MANAGER) |
Mailing Address: | 2444 Highway 34 Manasquan |
State: | NJ US |
Postal Code: | 087361818 |
Phone Number: | 7325284407 |
Fax Number: | 7325284525 |
NPI Enumeration Date: | 09/08/2010 |
NPI Last Update Date: | 09/29/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | MA04579600 |
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. |