Whalio Doctors

NPI 1003109893

Erik Dienna, MD

Practitioner Pediatrics Physician West Orange, NJ

Practice location

Address
745 Northfield Ave STE 7, West Orange, NJ 07052-1136
Phone
(973) 243-0002
Fax
(855) 274-7153
Mailing address
401 Route 73 N Bldg 10, Suite 320, Marlton, NJ 08053

Registered specialties

Pediatrics Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 208000000X Licence 25MA09966600 (NJ)

Registry record

NPI
1003109893
Entity type
Individual
Sex (as registered)
Male
NPI issued
26 May 2011
Record last updated
21 Jun 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.