Individual
DR. KASEY LYNN DISOMMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMSC, PA-C
Contact information
Practice address
94 OLD SHORT HILLS RD, LIVINGSTON, NJ 07039-5672
(973) 570-8700
Mailing address
94 OLD SHORT HILLS RD, LIVINGSTON, NJ 07039-5672
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00542500
NJ
Other
Enumeration date
08/30/2019
Last updated
07/31/2024
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