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Organization
LISA C. DIMEDIO, D.O., P. C.
Active
Organization
LISA C. DIMEDIO, D.O., P. C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LISA DIMEDIO D.O. (PRESIDENT)
(856) 227-8611
Entity
Organization
Contact information
Practice address
1652 COOPER ST, WOODBURY, NJ 08096-3768
(856) 227-8611
(856) 227-5716
Mailing address
1652 COOPER ST, WOODBURY, NJ 08096-3768
(856) 227-8611
(856) 227-5716
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MB06370800
NJ
Other
Enumeration date
12/05/2006
Last updated
11/30/2010
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