NPI 1245876325

Damian David Daffara, COO

Practitioner Registered Record Administrator Caldwell, NJ

Practice location

Address: 355 Bloomfield Ave, Caldwell, NJ 07006-5118
Phone: (973) 228-0072
Fax: (973) 228-2311
Mailing address: 69 Nicholas Ave, West Orange, NJ 07052-2932

Registered specialties

Registered Record Administrator Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 246YR1600X

Other Specialist/Technologist, Health Information providers in New Jersey →

Registry record

NPI: 1245876325
Entity type: Individual
Sex (as registered): Male
NPI issued: 23 Nov 2019
Record last updated: 23 Nov 2019

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.