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Individual

DENIS DILALLO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
703 MAIN ST, PATERSON, NJ 07503-2621
(973) 754-2555
(973) 754-2567
Mailing address
PO BOX 279, RUTHERFORD, NJ 07070-0279
(973) 773-0100
(973) 773-2101

Taxonomy

Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
MA51375
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3377105
NJ
Enumeration date
05/31/2005
Last updated
08/09/2011
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