Individual
PAUL T DIERLAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
651 WILLOW GROVE ST, HACKETTSTOWN, NJ 07840-1799
(908) 852-5100
Mailing address
PO BOX 13497, NEWARK, NJ 07188-0001
(201) 804-2800
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
25MA05562800
NJ
Other
Enumeration date
07/12/2006
Last updated
07/08/2007
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