Individual
DINA POLIDORI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
18 WARDELL AVE, RUMSON, NJ 07760-1037
(732) 508-0882
(629) 758-7834
Mailing address
18 WARDELL AVE, RUMSON, NJ 07760-1037
(917) 572-5770
(629) 758-7834
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
006863
NY
363A00000X
Physician Assistant
137607
IA
363A00000X
Physician Assistant
14272984-1206
UT
363A00000X
Physician Assistant
Primary
25MP00345500
NJ
363A00000X
Physician Assistant
68223
CA
363A00000X
Physician Assistant
MED-PAC-LIC-169304
MT
363A00000X
Physician Assistant
PA1451
WY
363A00000X
Physician Assistant
PA9121577
FL
363A00000X
Physician Assistant
PT1451
WY
Other
Enumeration date
05/02/2007
Last updated
04/17/2026
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