Dimarco, Jack P

Dimarco, Jack P is an individual health care provider with primary practice located at 1600 Haddon Ave Room 122, Camden NJ 08103-3101. He recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as his primary health care specialty. Dimarco, Jack P can be contacted via phone (856) 757-3879.

Contact Information

Primary practice address
1600 Haddon Ave Room 122 Camden NJ 08103-3101
Phone: (856) 757-3879
Fax: (856) 757-3760
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 25MA04166400 New Jersey

Profile Details

NPI number 1841234341
LBN Legal business name Dimarco, Jack P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2006
Last updated Jul 8th, 2007 - about 19 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 1841234341 NPPES
Other 484625 INDEPENDENCE BCBS
Other JS280 INDEPENDENCE BCBS
Other 0108561000 INDEPENDENCE BCBS
Other 853002 INDEPENDENCE BCBS
Other 19071 INDEPENDENCE BCBS
Other 4197831 INDEPENDENCE BCBS
Other F01770E4 INDEPENDENCE BCBS
Other 0301021001 INDEPENDENCE BCBS
Other 1092688 INDEPENDENCE BCBS
MEDICAID 0348309 INDEPENDENCE BCBS

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