Individual
ALICIA M DIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2440 HAMBURG TPKE, WAYNE, NJ 07470-6226
(973) 839-3400
Mailing address
2440 HAMBURG TPKE, WAYNE, NJ 07470-6226
(973) 839-3400
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ15077700
NJ
363LF0000X
Family Nurse Practitioner
7832
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004235900
—
CT
Enumeration date
09/17/2018
Last updated
07/24/2024
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