Organization
LISA C. DIMEDIO, D.O., P. C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LISA DIMEDIO D.O. (PRESIDENT)
(856) 227-8611
Entity
Organization
Contact information
Practice address
1652 COOPER ST, WOODBURY, NJ 08096-3768
(856) 227-8611
(856) 227-5716
Mailing address
1652 COOPER ST, WOODBURY, NJ 08096-3768
(856) 227-8611
(856) 227-5716
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MB06370800
NJ
Other
Enumeration date
12/05/2006
Last updated
11/30/2010
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