Individual
DR. DIANE KATHRYN DWORKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
631 BROADWAY, SUITE 3, BAYONNE, NJ 07002-3846
(201) 243-0700
(201) 243-0377
Mailing address
631 BROADWAY, SUITE 3, BAYONNE, NJ 07002-3846
(201) 243-0700
(201) 243-0377
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
MD002126
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0559479000
AMERIHEALTH
—
01
—
1047767
HORIZON MERCY
—
01
—
223297451
BCBS
—
01
—
480034676
TRAVELERS RR
—
05
—
5444501
—
NJ
01
—
5888433004
CIGNA
—
01
—
6200407
GHI
NJ
01
—
81972
AMERIGROUP
—
01
—
HS231
OXFORD
NJ
Enumeration date
11/15/2006
Last updated
05/04/2010
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