Provider Demographics
NPI:1497505176
Name:ARCIDIACONO, JAMES CRAIG (MD, MBS)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:CRAIG
Last Name:ARCIDIACONO
Suffix:
Gender:M
Credentials:MD, MBS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1945 STATE ROUTE 33
Mailing Address - Street 2:DEPARTMENT OF MEDICINE, ACKERMAN 335
Mailing Address - City:NEPTUNE
Mailing Address - State:NJ
Mailing Address - Zip Code:07753
Mailing Address - Country:US
Mailing Address - Phone:732-776-4448
Mailing Address - Fax:732-776-4052
Practice Address - Street 1:1945 STATE ROUTE 33
Practice Address - Street 2:DEPARTMENT OF MEDICINE, ACKERMAN 335
Practice Address - City:NEPTUNE
Practice Address - State:NJ
Practice Address - Zip Code:07753
Practice Address - Country:US
Practice Address - Phone:732-776-4448
Practice Address - Fax:732-776-4052
Is Sole Proprietor?:No
Enumeration Date:2024-03-25
Last Update Date:2024-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program