Individual
S. BARRY DIZNOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5936 LIMESTONE RD, SUITE 301, HOCKESSIN, DE 19707-8905
(302) 234-5800
(302) 234-2380
Mailing address
4755 OGLETOWN STANTON RD, DEPARTMENT OF RADIOLOGY, NEWARK, DE 19718-2200
(302) 733-1806
(302) 733-1808
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
C1-0000615
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000111101
—
DE
01
—
300067081
RAILROAD MEDICARE
—
Enumeration date
03/21/2006
Last updated
02/07/2013
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