Individual
DIANA CORRADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS LAC
Contact information
Practice address
172 SOUTH ST STE 102, NEW PROVIDENCE, NJ 07974-2032
(201) 921-3525
Mailing address
172 SOUTH ST STE 102, NEW PROVIDENCE, NJ 07974-2032
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
25MZ00149500
NJ
Other
Enumeration date
07/28/2021
Last updated
07/28/2021
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