Individual
DR. LISA CARLENE DIMEDIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
354 HURFFVILLE CROSSKEYS RD BLDG 2, SEWELL, NJ 08080-3552
(844) 542-2273
Mailing address
354 HURFFVILLE CROSSKEYS RD BLDG 2, SEWELL, NJ 08080-3552
(844) 542-2273
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MB06370800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7042205
—
NJ
Enumeration date
08/31/2006
Last updated
03/16/2023
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