Provider Demographics
NPI:1902964448
Name:DIGIOIA, JULIA M (MD)
Entity Type:Individual
Prefix:
First Name:JULIA
Middle Name:M
Last Name:DIGIOIA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 25
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:NJ
Mailing Address - Zip Code:07940-0025
Mailing Address - Country:US
Mailing Address - Phone:973-616-7117
Mailing Address - Fax:973-616-7338
Practice Address - Street 1:33 OVERLOOK RD
Practice Address - Street 2:SUITE 205
Practice Address - City:SUMMIT
Practice Address - State:NJ
Practice Address - Zip Code:07901-3570
Practice Address - Country:US
Practice Address - Phone:908-522-3200
Practice Address - Fax:908-522-1222
Is Sole Proprietor?:No
Enumeration Date:2006-12-05
Last Update Date:2023-12-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA03996200208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ428701Medicare ID - Type UnspecifiedINDIVIDUAL ID NUMBER
NJC54248Medicare UPIN