Individual provider · Type 1 NPI
Theodore A. Dacosta Jr., MD
Gastroenterology Physician · Orange, NJ
Practice location
85 S Jefferson Street
Orange, NJ 07050
Fax (973) 672-9299
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine Physician | 207R00000X | 25MA05600200 (NJ) |
| Gastroenterology Physician Primary | 207RG0100X | 25MA05600200 (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.
Another provider at this address
About NPI 1558395673
Theodore A. Dacosta Jr., MD's National Provider Identifier is 1558395673, issued on Jul 11, 2006. The primary taxonomy on file is Gastroenterology Physician (207RG0100X), and the practice location is in Orange, NJ. The record was last updated on Sep 11, 2025.