Theodore A. Dacosta MD PA
Theodore A. Dacosta MD PA is a Gastroenterology Physician in Livingston, New Jersey. Licensed in New Jersey. Registered with an NPI since 2009.
- Licensed in
- NJ
- In the registry since
- 2009
What do these letters mean?
- PA — Professional association
- A form of business registration, not a clinical qualification.
Practice location Address checks out
22 Chestnut StLivingston, NJ 07039-5502
Phone: (973) 422-0094
Fax: (973) 422-9895
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Gastroenterology Physician (primary) | Taxonomy 207RG0100X · Licence MA56002 (NJ) |
|---|
Record details
| NPI number | 1295978385 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Theodore Dacosta — President · (973) 422-0094 |
| NPI enumerated | April 20, 2009 |
| Last updated in NPPES | April 20, 2009 |
| Mailing address | 22 Chestnut St, Livingston, NJ 07039-5502 |
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