Provider Demographics
NPI:1629481072
Name:DROGO, JOSEPH (APN)
Entity Type:Individual
Prefix:
First Name:JOSEPH
Middle Name:
Last Name:DROGO
Suffix:
Gender:M
Credentials:APN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:107 N HARDING HWY
Mailing Address - Street 2:
Mailing Address - City:LANDISVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08326-1139
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:107 N HARDING HWY
Practice Address - Street 2:
Practice Address - City:LANDISVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08326-1139
Practice Address - Country:US
Practice Address - Phone:856-207-0361
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-06-03
Last Update Date:2014-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ00495000363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care