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Individual

DR. CHERISE DYAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1777 HAMBURG TPKE, WAYNE, NJ 07470-5211
(973) 839-5700
(973) 616-4343
Mailing address
1777 HAMBURG TPKE, WAYNE, NJ 07470-5211
(973) 839-5700
(973) 616-4343

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
25MA07083800
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
10477971
MASTERCARE
NY
01
10477973
MAASTERCARE
NJ
01
1127396
HORIZON
NJ
01
126372
CHN
NJ
01
1356408
UNITED HEALTHCARE
NJ
01
1808825
FIRST HEALTH
NJ
01
19Q541
EMPIRE
NJ
01
1K6476
HEALTHNET
NJ
01
223338995
TAX ID
NJ
01
2355795
AETNA
NJ
01
578951
EMPIRE
NJ
01
599351
GHI
NJ
01
61928
OPERATING LOCAL
NJ
05
8311901
NJ
01
P837925
OXFORD
NJ
Enumeration date
09/21/2006
Last updated
03/08/2010
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