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Individual

JEFFREY P DILISI

Active
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Individual

JEFFREY P DILISI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101245481
VA
207R00000X
Internal Medicine Physician
2006-01167
NC
207R00000X
Internal Medicine Physician
MA08492700
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2006-01167
MEDICAL LICENSE
NC
05
5904418
NC
01
MA08492700
MEDICAL LICENSE
NJ
Enumeration date
07/28/2006
Last updated
03/22/2010
Update your record

If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.

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