# DIANE MARCHESANI, DO LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Diane Marchesani
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093118366
- **Authorized official:** DR. DIANE MARCHESANI DO (OWNER)
- **Authorized official phone:** (609) 652-2240

## Contact information

- **Practice address:** 72 W JIMMIE LEEDS RD, SUITE 2400, GALLOWAY, NJ 08205-9406
- **Practice address phone:** (609) 652-2240
- **Practice address fax:** (609) 652-0044
- **Mailing address:** PO BOX 738, POMONA, NJ 08240-0738
- **Mailing address phone:** (609) 652-2240

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RI0200X | Infectious Disease Physician | 25MB08287700 | NJ | Yes |

## Other

- **Enumeration date:** 10/01/2014
- **Last updated:** 04/03/2017
