Search › New Jersey › 207RG0100X
Theodore Dacosta, DO
NPI 1114420155 · on the registry since 2018
Practice
- Address
- 59 Main St Ste 1
West Orange, NJ 07052 - Phone
- (973) 674-8866
- Organisation at this address
- Velvetspeech Llc
Amazing Supports Llc
Northfield Podiatry Pc
Quality Kare Transport
E Fleet TransportationInferred from a shared address, not stated in the registry. - Clinicians at this address
- 17
Additional practice sites
- 26 Mcchesney Ct, West Orange, NJ
Registry record
- Primary taxonomy
- 207RG0100X
207RG0100X
- Also registered as
- 390200000X
- Licence states on file
- NJ
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-05-30
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Jersey