| Dianne W. Beresford, Md | |
|
303 Belmont Ave Belleville NJ 07109-1103 | |
| (973) 751-2240 | |
| (973) 751-4886 |
| Full Name | Dianne W. Beresford, Md |
|---|---|
| Speciality | Internal Medicine |
| Location | 303 Belmont Ave, Belleville, New Jersey |
| Authorized Official Name and Position | Dianne W Beresford (OWNER) |
| Authorized Official Contact | 9737512240 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dianne W. Beresford, Md 303 Belmont Ave Belleville NJ 07109-1103 Ph: (973) 751-2240 | Dianne W. Beresford, Md 303 Belmont Ave Belleville NJ 07109-1103 Ph: (973) 751-2240 |
| NPI Number | 1184050940 |
|---|---|
| Provider Enumeration Date | 09/24/2013 |
| Last Update Date | 09/24/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184050940 | NPI | - | NPPES |
| 1696009 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 25MA04864500 (New Jersey) | Primary |
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