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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

LAUREN DIETZ

Active

LAUREN DIETZ is a Physician Assistant healthcare provider located in RIVERDALE, New Jersey. NPI 1669741666 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · RIVERDALE, NJ

Registration Details

NPI Number
1669741666
Provider Type
Individual
Gender
Female
NPI Issued
Dec 20, 2011 (14.66385884189 yrs)
Last Updated
Jan 22, 2012
Licenses
015171 (NY)
25MP00277100 (NJ)

Practice Information

Address
44 ROUTE 23 NORTH
SUITE 213
RIVERDALE, NJ, 07457
Browse NJ providers · Browse ZIP 07457
Phone
9735712121
Primary Specialty
Physician Assistant
363A00000X
Additional Specialty
Physician Assistant

Other Physician Assistant Providers in RIVERDALE, NJ

Name Credential NPI
MELISSA SABARI PA 1184346835
PAMELA BALADI PA-C 1003593831
SAMANTHA VAIL PA-C 1386472702
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.