Individual
MS. JULIA M DIDDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPO, BOCO, BOCP
Contact information
Practice address
10 PROSPECT ST, C/O ORTHO CARE, INC, WESTFIELD, NJ 07090-2114
(908) 232-9910
(908) 232-9915
Mailing address
10 PROSPECT ST, C/O ORTHO CARE, INC, WESTFIELD, NJ 07090-2114
(908) 232-9910
(908) 232-9915
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
45PO00014100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0244376
—
NJ
01
—
223445698
HORIZON
NJ
Enumeration date
12/09/2012
Last updated
12/09/2012
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