Individual
DR. ELIZABETH JOSEPHINE DIPROSPERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
23 MOUNTAIN BLVD, WARREN, NJ 07059-5611
(908) 598-7970
(908) 322-4989
Mailing address
PO BOX 416457, BOSTON, MA 02241-6457
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA08809600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0280119
—
NJ
Enumeration date
03/23/2011
Last updated
02/20/2015
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