Individual
DIANE M ALLEGRA
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1135 BROAD ST, SUITE 201, CLIFTON, NJ 07013-3346
(973) 754-4100
Mailing address
703 MAIN ST, ST. JOSEPH'S REGIONAL MEDICAL CENTER, PATERSON, NJ 07503-2621
(973) 754-2052
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MA03127100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3627403
—
NJ
Enumeration date
05/17/2006
Last updated
07/08/2007
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