Individual
DR. ASIM G DIKENGIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
736 PAGE AVE, LYNDHURST, NJ 07071
(201) 729-1234
(201) 729-1150
Mailing address
736 PAGE AVE, LYNDHURST, NJ 07071
(201) 729-1234
(201) 729-1150
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MA44234
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
040470
MCARE
PA
05
—
1436601
—
NJ
01
—
40F111
MCARE
NY
Enumeration date
09/07/2006
Last updated
07/08/2007
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