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1487687422
DIANE ERIANNE
LIVINGSTON, NJ
NPI
1487687422
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant Medical
(Licence: NJ 25MP00283000)
Enumeration Date
2006-07-09
Last Update Date
2020-01-28
Business Address
DIANE ERIANNE PA
75 E NORTHFIELD RD
LIVINGSTON, NJ 07039-4532
Phone number: 973-436-1500
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Mailing Address
DIANE ERIANNE PA
56 FRANKLIN ST 3RD FLOOR
WATERBURY, CT 06706-1221
Phone number: 203-709-8873
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