| Lisa C. Dimedio, D.o., P. C. | |
|
1652 Cooper St Woodbury NJ 08096-3768 | |
| (856) 227-8611 | |
| (856) 227-5716 |
| Full Name | Lisa C. Dimedio, D.o., P. C. |
|---|---|
| Speciality | Internal Medicine |
| Location | 1652 Cooper St, Woodbury, New Jersey |
| Authorized Official Name and Position | Lisa Dimedio (PRESIDENT) |
| Authorized Official Contact | 8562278611 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa C. Dimedio, D.o., P. C. 1652 Cooper St Woodbury NJ 08096-3768 Ph: (856) 227-8611 | Lisa C. Dimedio, D.o., P. C. 1652 Cooper St Woodbury NJ 08096-3768 Ph: (856) 227-8611 |
| NPI Number | 1982762381 |
|---|---|
| Provider Enumeration Date | 12/05/2006 |
| Last Update Date | 11/30/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982762381 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 25MB06370800 (New Jersey) | Primary |
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