Individual
DIKSHYA KOIRALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
28 VALLEY RD # 3148, MONTCLAIR, NJ 07042-2709
(973) 559-4600
(855) 998-4358
Mailing address
1301 MAIN ST, ASBURY PARK, NJ 07712-5359
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ01368000
NJ
Other
Enumeration date
09/15/2022
Last updated
06/03/2025
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