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Individual

DR. DONNA CLERICI DIZIKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.O.

Contact information

Practice address
16 ETHEL RD, EDISON, NJ 08817-2249
(732) 623-0399
(732) 248-4405
Mailing address
16 ETHEL RD, EDISON, NJ 08817-2249
(732) 623-0399
(732) 248-4405

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MB05014400
NJ

Other

Enumeration date
05/20/2006
Last updated
07/08/2007
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