Dimenna Iii, Joseph L
Dimenna Iii, Joseph L is an sole proprietor health care provider with primary practice located at 496 Kings Hwy N Ste 210 , Cherry Hill NJ 08034-1015. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Dimenna Iii, Joseph L can be contacted via phone (908) 968-9322.Contact Information
Primary practice address
496 Kings Hwy N Ste 210
Cherry Hill NJ 08034-1015
Phone: (908) 968-9322
Fax: (856) 667-9739
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | MD02297 | New Jersey |
Profile Details
NPI number | 1205873155 |
---|---|
LBN Legal business name | Dimenna Iii, Joseph L |
Credentials | Doctor of Podiatric Medicine (DPM) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jun 1st, 2006 |
Last updated | Jan 25th, 2021 - about 3 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 | 1205873155 | NPPES |
New Jersey | MEDICAID | 6787606 |
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