Individual provider · Type 1 NPI

Theodore R. Dacosta, DO

Gastroenterology Physician · West Orange, NJ

NPI number 1114420155 Active

Practice location

59 Main St Ste 1
West Orange, NJ 07052-5341

Mailing address

26 Mcchesney Ct
West Orange, NJ 07052-1135

Other practice locations

  • 26 Mcchesney Ct, West Orange, NJ 07052-1135 · (973) 699-3950

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Gastroenterology Physician Primary 207RG0100X25MB12193600 (NJ)

Gastroenterology Physician: An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

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About NPI 1114420155

Theodore R. Dacosta, DO's National Provider Identifier is 1114420155, issued on Mar 15, 2018. The primary taxonomy on file is Gastroenterology Physician (207RG0100X), and the practice location is in West Orange, NJ. The record was last updated on May 30, 2024.