Dr. Joseph Difazio
Prosthodontist
107 Monmouth Rd Suite 101
West Long Branch
, New Jersey 07764-1000
Dr. Joseph Difazio
Prosthodontist
107 Monmouth Rd Suite 101
West Long Branch
, New Jersey 07764-1000
(732) 542-9419
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About
Features
Specialties
- Prosthodontist
Languages spoken
- English
Location
First Address
- Dr. Joseph Difazio
- 107 Monmouth Rd Suite 101
- West Long Branch, NJ
- Zip : 07764-1000
- Fax : (732) 542-9419
- Phone : (732) 542-0011
Second Address
- Dr. Joseph Difazio
- 107 Monmouth Rd Suite 101
- West Long Branch, NJ
- Zip : 07764-1000
- Fax : (732) 542-9419
- Phone : (732) 542-0011
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Is Dr. Joseph Difazio a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 1223P0700X | Prosthodontist | 22DI01294600 | NJ |
| Y | 1223P0700X | Prosthodontist | 3161 | NJ |
National Provider Identifier
| NPI | 1235264227 |
|---|---|
| Provider Name | Dr. Joseph Difazio |
| First Address | West Long Branch, NJ 07764-1000 |
| Second Address | West Long Branch, NJ 07764-1000 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 22/02/2007 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1160430 | (05) | NJ |
| U24798 | (02) | NJ |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.