| Dr John P Dicamillo Pa | |
|
20 Park Avenue Suite 2a Lyndhurst NJ 07071 | |
| (201) 939-0549 | |
| (201) 939-2470 |
| Full Name | Dr John P Dicamillo Pa |
|---|---|
| Speciality | Dentist |
| Location | 20 Park Avenue, Lyndhurst, New Jersey |
| Authorized Official Name and Position | John Philip Dicamillo (PRESIDENT) |
| Authorized Official Contact | 2019390549 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr John P Dicamillo Pa 20 Park Avenue Suite 2a Lyndhurst NJ 07071 Ph: (201) 939-0549 | Dr John P Dicamillo Pa 20 Park Avenue Suite 2a Lyndhurst NJ 07071 Ph: (201) 939-0549 |
| NPI Number | 1225152937 |
|---|---|
| Provider Enumeration Date | 03/19/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225152937 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 22DI01408700 (New Jersey) | Primary |
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