# DIWALI LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144606054
- **Authorized official:** DR. PARIND OZA M.D. (OWNER)
- **Authorized official phone:** (914) 216-9295

## Contact information

- **Practice address:** 1625 ANDERSON AVE, ROOM 203, FORT LEE, NJ 07024-2748
- **Practice address phone:** (201) 224-1100
- **Mailing address:** 1625 ANDERSON AVE, ROOM 203, FORT LEE, NJ 07024-2748

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0129X | Vascular Surgery Physician | 25MA08284300 | NJ | Yes |

## Other

- **Enumeration date:** 08/03/2015
- **Last updated:** 10/05/2015