Individual
DR. ALITA LOGRONO DIZON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
377 JERSEY AVE, SUITE 460, JERSEY CITY, NJ 07302-4325
(201) 332-4110
(201) 332-4122
Mailing address
377 JERSEY AVE, SUITE 460, JERSEY CITY, NJ 07302-4325
(201) 332-4110
(201) 332-4122
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
25MA06172900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1067339
HORIZON NJ HEALTH
NJ
01
—
21149154242
BEECH STREET
NJ
01
—
23165
UHP
NJ
01
—
2702975014
CIGNA
NJ
01
—
2702975016
CIGNA
NJ
01
—
41N14
EMPIRE BCBS
NY
01
—
5097587
AETNA
NJ
05
—
7437901
—
NJ
01
—
P2673595
OXFORD
NJ
Enumeration date
08/30/2006
Last updated
10/26/2010
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