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Organization

DIANE CHAZEN, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MISS LISA WRIGHT (OFFICE MANAGER)
(973) 379-8900
Entity
Organization

Contact information

Practice address
55 MORRIS AVE, SUITE 216, SPRINGFIELD, NJ 07081-1426
(973) 379-8900
(973) 379-0580
Mailing address
55 MORRIS AVE, SUITE 216, SPRINGFIELD, NJ 07081-1426
(973) 379-8900
(973) 379-0580

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA04305400
NJ

Other

Enumeration date
06/30/2009
Last updated
06/30/2009
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