Provider Demographics
NPI:1710914411
Name:RIGATTI, DARRELL J (MD)
Entity Type:Individual
Prefix:DR
First Name:DARRELL
Middle Name:J
Last Name:RIGATTI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20 WHITE RD
Mailing Address - Street 2:SUITE A
Mailing Address - City:SHREWSBURY
Mailing Address - State:NJ
Mailing Address - Zip Code:07702-4039
Mailing Address - Country:US
Mailing Address - Phone:732-741-4988
Mailing Address - Fax:732-741-4979
Practice Address - Street 1:20 WHITE RD
Practice Address - Street 2:SUITE A
Practice Address - City:SHREWSBURY
Practice Address - State:NJ
Practice Address - Zip Code:07702-4039
Practice Address - Country:US
Practice Address - Phone:732-741-4988
Practice Address - Fax:732-741-4979
Is Sole Proprietor?:No
Enumeration Date:2006-06-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA061484208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics