Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. EMANUEL M. DICICCO-BLOOM, MD
Active Sole ProprietorNeurodevelopmental Disabilities · NEW BRUNSWICK, NJ
Registration Details
- NPI Number
- 1578658720
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 4, 2006 (19.548573385291 yrs)
- Last Updated
- Jul 23, 2021
- Licenses
-
MA54781 (NJ)25MA05478100 (NJ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
89 FRENCH ST STE 2300NEW BRUNSWICK, NJ, 089011935Browse NJ providers · Browse ZIP 08901
- Phone
- 7322357875
- Fax
- 7322356620
- Primary Specialty
-
Neurodevelopmental Disabilities
2080P0008X
- Additional Specialty
- Neurodevelopmental Disabilities
Other Neurodevelopmental Disabilities Providers in NEW BRUNSWICK, NJ
| Name | Credential | NPI |
|---|---|---|
| VICTORIA SURGAN | MD | 1073603007 |
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.