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31D0713312 CLIA NUMBER - JOSEPH V DITROLIO MD

Laboratory Demographics

CLIA Number: 31D0713312

Facility Name: JOSEPH V DITROLIO MD

Facility Address:
556 EAGLE ROCK AVENUE SUITE 204
ROSELAND, NJ
ZIP 07068
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Facility Phone Number: 201 228-2771

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1295767804

Taxonomy: 208800000X - Urology
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

CLIA Record

Field Name Field Value
CLIA Number 31D0713312
LAB Type Physician Office
Facility Name JOSEPH V DITROLIO MD
Street 556 EAGLE ROCK AVENUE SUITE 204
City ROSELAND
State NJ
ZIP 07068
Phone 201 228-2771
CertificateType 4
CertificateEffectiveDate 9/1/2022
CertificateExpirationDate 8/31/2024
FacilityType Waiver

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This page was last updated on: 4/23/2024