Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JOSEPH DIFAZIO, D.M.D.
Active Sole ProprietorDR. JOSEPH DIFAZIO, D.M.D. is a Pediatric Dentistry healthcare provider located in WEST LONG BRANCH, New Jersey. NPI 1235264227 is currently active in the NPPES registry. Verify at CMS.
Pediatric Dentistry · WEST LONG BRANCH, NJ
Registration Details
- NPI Number
- 1235264227
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 22, 2007 (19.484983425436 yrs)
- Last Updated
- Jul 8, 2007
- Licenses
-
22DI01294600 (NJ)3161 (NJ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
107 MONMOUTH RDSUITE 101WEST LONG BRANCH, NJ, 077641000Browse NJ providers · Browse ZIP 07764
- Phone
- 7325420011
- Fax
- 7325429419
- Primary Specialty
-
Pediatric Dentistry
1223P0700X
- Additional Specialty
- Pediatric Dentistry
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.