Desimone, Luca

Desimone, Luca is an individual health care provider with primary practice located at 1000 Route 9 N Suite 302, Woodbridge NJ 07095-1215. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Nephrology. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Desimone, Luca can be contacted via phone (732) 634-0036.

Contact Information

Primary practice address
1000 Route 9 N Suite 302 Woodbridge NJ 07095-1215
Fax: (732) 855-9395
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MA74109 New Jersey
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X MA74109 New Jersey

Profile Details

NPI number 1104897388
LBN Legal business name Desimone, Luca
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 27th, 2006
Last updated Jul 8th, 2007 - about 18 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104897388 NPPES
New Jersey MEDICAID 0011525
New Jersey Other 2296513
New Jersey Other 3242041
New Jersey Other P3517932

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