Individual provider · Type 1 NPI

Dorea Dimaggio, PA-C

Medical Physician Assistant · Freehold, NJ

NPI number 1679172894 Active

Practice location

901 W Main St
Freehold, NJ 07728-2537

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X25MP00579000 (NJ)

Medical Physician Assistant: Definition to come...

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About NPI 1679172894

Dorea Dimaggio, PA-C's National Provider Identifier is 1679172894, issued on Oct 19, 2020. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Freehold, NJ. The record was last updated on Oct 19, 2020.