Dacosta Medical Group LLC
Dacosta Medical Group LLC provides Gastroenterology Physician services in Orange, New Jersey. Registered with an NPI since 2007.
- In the registry since
- 2007
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
85 S Jefferson StOrange, NJ 07050 Not confirmed with CMS for 16 years — call before visiting
Phone: (973) 674-8866
Fax: (973) 672-9299
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Gastroenterology Physician (primary) | Taxonomy 207RG0100X |
|---|
Record details
| NPI number | 1346461282 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Theodore Dacosta — Physician · (973) 674-8866 |
| NPI enumerated | May 1, 2007 |
| Last updated in NPPES | April 23, 2010 |
| Mailing address | 85 S Jefferson Street, Orange, NJ 07050 |