William Scott Digiacomo Md Llc | |
2801 Morris Ave Union NJ 07083-4821 | |
(908) 851-0455 | |
(908) 851-0708 |
Full Name | William Scott Digiacomo Md Llc |
---|---|
Speciality | Internal Medicine |
Location | 2801 Morris Ave, Union, New Jersey |
Authorized Official Name and Position | William Scott Digiacomo (PRESIDENT/OWNER) |
Authorized Official Contact | 9088510455 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
William Scott Digiacomo Md Llc 2801 Morris Ave Union NJ 07083-4821 Ph: (908) 851-0455 | William Scott Digiacomo Md Llc 2801 Morris Ave Union NJ 07083-4821 Ph: (908) 851-0455 |
NPI Number | 1427153162 |
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Provider Enumeration Date | 09/14/2006 |
Last Update Date | 02/08/2023 |
Medicare PECOS PAC ID | 1557449246 |
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Medicare Enrollment ID | O20080422000116 |
Identifier | Type | State | Issuer |
---|---|---|---|
1427153162 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 25MA07813300 (New Jersey) | Primary |
Provider Name | William S Digiacomo |
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Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1982652970 PECOS PAC ID: 1658308770 Enrollment ID: I20050930000321 |
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