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NPI Code Detail

MEDICARE: DR. DAWNMARIE DIGRAZIA DMD

MEDICARE: DR. DAWNMARIE DIGRAZIA DMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1122300000XDentist22DI02203300NJ

General Provider Information

NPI Number : 1386891000
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DAWNMARIE DIGRAZIA DMD
Provider Business Mailing Address
First Line : 279 E MAIN ST
Second Line :
City : SOMERVILLE
State : NJ
Zip : 08876-3005
Country : US
Telephone Number : 908-722-2999
Fax Number : 908-218-9346
Provider Business Practice Location Address
First Line : 279 E MAIN ST
Second Line :
City : SOMERVILLE
State : NJ
Zip : 08876-3005
Country : US
Telephone Number : 908-722-2999
Fax Number : 908-218-9346
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/25/2008
Last Update Date : 08/25/2008

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