Whalio Doctors

NPI 1063460939

John Daconti, DO

Practitioner Internal Medicine Physician Belleville, NJ

Practice location

Address
77 Newark Ave Suite 3 & 4, Belleville, NJ 07109-4143
Phone
(973) 528-2160
Fax
(973) 528-2165
Mailing address
66 Somme St, Newark, NJ 07105-3612

Registered specialties (2)

Internal Medicine Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207R00000X Licence 25MB03091800 (NJ)
Addiction Medicine (Internal Medicine) Physician
Allopathic & Osteopathic Physicians Taxonomy 207RA0401X Licence XD3165075 (NJ)

Registry record

NPI
1063460939
Entity type
Individual
Sex (as registered)
Male
NPI issued
4 May 2006
Record last updated
15 Aug 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.