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Contact Information

LISA C DIMEDIO, DO
354 HURFFVILLE CROSSKEYS RD BLDG 2
SEWELL, NJ08080-3552
 Phone: 844-542-2273
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for LISA C DIMEDIO · (Female)

NPI # 1013028844
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 08/31/2006
Last updated 03/16/2023 - About 3 years ago
Sole proprietor 1 Yes
Identifiers
  • NJ License # 25MB06370800
  • NJ Medicaid 7042205
Hospital affiliation(s)
  • KENNEDY UNIVERSITY HOSPITAL - STRATFORD DIV - (Acute Care)
    18 EAST LAUREL ROAD
    STRATFORD, NJ 08084
  • SOUTH JERSEY HEALTHCARE REGIONAL MEDICAL CENTER - (Acute Care)
    1505 W SHERMAN AVE
    VINELAND, NJ 08360
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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