Provider Demographics
NPI:1215676101
Name:DIGIACOMO MEDICAL ASSOCIATES LLC
Entity type:Organization
Organization Name:DIGIACOMO MEDICAL ASSOCIATES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:SCOTT
Authorized Official - Last Name:DIGIACOMO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:908-851-2500
Mailing Address - Street 1:2801 MORRIS AVE FL 2
Mailing Address - Street 2:
Mailing Address - City:UNION
Mailing Address - State:NJ
Mailing Address - Zip Code:07083-4821
Mailing Address - Country:US
Mailing Address - Phone:973-769-4790
Mailing Address - Fax:908-851-0860
Practice Address - Street 1:2801 MORRIS AVE FL 2
Practice Address - Street 2:
Practice Address - City:UNION
Practice Address - State:NJ
Practice Address - Zip Code:07083-4821
Practice Address - Country:US
Practice Address - Phone:973-769-4790
Practice Address - Fax:908-851-0860
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-31
Last Update Date:2025-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty