Individual
DIEGO LOAIZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APN-C
Contact information
Practice address
50 PASSAIC ST, HACKENSACK, NJ 07601-4309
(201) 487-3355
(201) 487-0960
Mailing address
3 UNIVERSITY PLZ STE 205, HACKENSACK, NJ 07601-6208
(201) 833-3000
(201) 277-6207
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
26NJ00505300
NJ
363LG0600X
Gerontology Nurse Practitioner
26NJ00505300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0427314
—
NJ
Enumeration date
07/17/2014
Last updated
01/23/2023
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