Individual
DIANE ELIZABETH DEMATTEO-SZOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7 MEDFORD PL, WAYNE, NJ 07470-5313
(973) 865-4560
Mailing address
7 MEDFORD PL, WAYNE, NJ 07470-5313
(973) 865-4560
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
26NR06670500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NONE
NURSE
NJ
Enumeration date
04/29/2022
Last updated
04/29/2022
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