Organization
DIANE K. DWORKIN DPM LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS DIANE DWORKIN DPM (PRESIDENT)
(201) 243-0700
Entity
Organization
Contact information
Practice address
631 BROADWAY, 3RD FLOOR, BAYONNE, NJ 07002-3846
(201) 243-0700
Mailing address
631 BROADWAY, 3RD FLOOR, BAYONNE, NJ 07002-3846
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
25MD00212600
NJ
Other
Enumeration date
08/09/2007
Last updated
08/09/2007
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