Individual
CHERRY DIZON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1028 HOOPER AVE, TOMS RIVER, NJ 08753-8321
(732) 202-6850
Mailing address
2 SURLE CT, BAYVILLE, NJ 08721-2166
(732) 237-0950
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
26NJ00617800
NJ
363LF0000X
Family Nurse Practitioner
Primary
26NJ00617800
NJ
Other
Enumeration date
02/22/2016
Last updated
12/13/2024
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