Digiacomo, Jody Christopher

Digiacomo, Jody Christopher is an sole proprietor health care provider with primary practice located at 1001 W Main St Suite A, Freehold NJ 07728-2579. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Trauma Surgery, Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Surgical Critical Care. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Digiacomo, Jody Christopher can be contacted via phone (732) 845-5001.

Contact Information

Primary practice address
1001 W Main St Suite A Freehold NJ 07728-2579
Phone: (732) 845-5001
Fax: (732) 303-0114
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Trauma Surgery 2086S0127X MA053971 New Jersey
Allopathic & Osteopathic Physicians / Surgery 208600000X MA053971 New Jersey
Allopathic & Osteopathic Physicians / Surgical Critical Care 2086S0102X MA053971 New Jersey

Profile Details

NPI number 1063449551
LBN Legal business name Digiacomo, Jody Christopher
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 28th, 2006
Last updated Mar 25th, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063449551 NPPES
New Jersey MEDICAID 5164001

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