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Contact Information

LISA L DEVER, MD
140 BERGEN ST
ACC LEVEL D
NEWARK, NJ07103-2425
 Phone: 973-972-4071
 Fax: 973-972-3102
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Infectious Disease

207RI0200X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for LISA L DEVER · (Female)

NPI # 1619901014
Status Active
Credentials MD
Entity Individual
Enumeration date 07/10/2006
Last updated 02/03/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • NJ License # 25MA05839800
  • NJ Medicaid 0101311
Hospital affiliation(s)
  • UMDNJ UNIVERSITY HOSPITAL - (Acute Care)
    150 BERGEN ST
    NEWARK, NJ 07103
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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