Theodore R Dacosta, DO
Theodore R Dacosta, DO is a Student in an Organized Health Care Education/Training Program in West Orange, New Jersey. Works from 2 locations. Licensed in New Jersey.
- Licensed in
- NJ
- In the registry since
- 2018
- Specialties on file
- 2
What do these letters mean?
- DO — Doctor of Osteopathic Medicine
- A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.
Practice location Address checks out
West Orange, NJNo coordinates on file. Search this address in Google Maps
Additional practice locations (1)
- 26 McChesney Ct, West Orange, NJ 07052-1135 — (973) 699-3950
Specialties & licences
| Gastroenterology Physician (primary) | Taxonomy 207RG0100X · Licence 25MB12193600 (NJ) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X (NJ) |
Record details
| NPI number | 1114420155 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | DO |
| Sole proprietor | No |
| NPI enumerated | March 15, 2018 |
| Last updated in NPPES | May 30, 2024 |
| Certification date | May 30, 2024 |
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