Individual
MARIA DINNAH ECLAVIA-DY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1 COOPER PLZ, COOPER ANESTHESIA ASSOCIATES, CAMDEN, NJ 08103-1461
(856) 342-2425
Mailing address
1 FEDERAL ST STE SW200, CAMDEN, NJ 08103-1155
(856) 356-4924
(856) 356-4710
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
NR084137
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00295241
RR MEDICARE
NJ
Enumeration date
01/22/2007
Last updated
03/02/2018
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