Ditrolio, Joseph Vincent

Ditrolio, Joseph Vincent is an sole proprietor health care provider with primary practice located at 556 Eagle Rock Avenue Suite 204, Roseland NJ 07068-1502. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Ditrolio, Joseph Vincent can be contacted via phone (973) 228-2771.

Contact Information

Primary practice address
556 Eagle Rock Avenue Suite 204 Roseland NJ 07068-1502
Fax: (973) 228-7477
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 25MA03785200 New Jersey

Profile Details

NPI number 1295767804
LBN Legal business name Ditrolio, Joseph Vincent
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 6th, 2006
Last updated Jul 9th, 2007 - about 17 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 1295767804 NPPES
New Jersey MEDICAID 1826905

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