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Individual

SUZANNE JANE DIRIENZO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
1PINCKNEY BLVD., NAVAL HOSPITAL AT BEAUFORT, BEAUFORT, SC 29902
(843) 228-5577
Mailing address
153 DATAW DR, SAINT HELENA ISLAND, SC 29920-3806
(917) 593-0428

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
004661
NY

Other

Enumeration date
11/08/2007
Last updated
11/08/2007
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