Healthcare Provider Details

I. General information

NPI: 1538074422
Provider Name (Legal Business Name): DANIEL BIGINI
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/17/2026
Last Update Date: 08/17/2026
Certification Date: 08/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 HOLLY DELL DR
SEWELL NJ
08080-9318
US

IV. Provider business mailing address

200 HOLLY DELL DR
SEWELL NJ
08080-9318
US

V. Phone/Fax

Practice location:
  • Phone: 856-494-8484
  • Fax:
Mailing address:
  • Phone: 856-494-8484
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175T00000X
TaxonomyPeer Specialist
License Number2035
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: