Organization · Type 2 NPI

Diagnosis Center of Excellence

Specialist · Jersey City, NJ

NPI number 1174856595 Active

Practice location

575 Liberty Ave
Jersey City, NJ 07307-3910

Fax (201) 656-6366

Mailing address

5005 Bergenline Ave
West New York, NJ 07093-5563

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XMA54305 (NJ)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1174856595

Diagnosis Center of Excellence's National Provider Identifier is 1174856595, issued on Sep 16, 2009. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Jersey City, NJ. The record was last updated on Oct 23, 2009.