Individual
DAVID ANTHONY DIAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.AC
Contact information
Practice address
112 DAVENPORT AVE, NEWARK, NJ 07107-1921
(973) 432-8134
Mailing address
112 DAVENPORT AVE, NEWARK, NJ 07107-1921
(973) 432-8134
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
25MZ00141200
NJ
Other
Enumeration date
08/16/2019
Last updated
08/16/2019
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