Daconti, John
Daconti, John is an individual health care provider with primary practice located at 77 Newark Ave Suite 3 & 4, Belleville NJ 07109-4143. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Addiction Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Daconti, John can be contacted via phone (973) 528-2160.Contact Information
Primary practice address
77 Newark Ave Suite 3 & 4
Belleville NJ 07109-4143
Phone: (973) 528-2160
Fax: (973) 528-2165
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 25MB03091800 | New Jersey |
Allopathic & Osteopathic Physicians / Addiction Medicine | 207RA0401X | XD3165075 | New Jersey |
Profile Details
NPI number | 1063460939 |
---|---|
LBN Legal business name | Daconti, John |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 4th, 2006 |
Last updated | Aug 15th, 2013 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1063460939 | NPPES |
New Jersey | MEDICAID | 1287001 |
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