Bucolo-Van Dyke, Diana
Bucolo-Van Dyke, Diana is an sole proprietor health care provider with primary practice located at 485 New Brunswick Ave , Perth Amboy NJ 08861-3675. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Bucolo-Van Dyke, Diana can be contacted via phone (732) 442-5390.Contact Information
Primary practice address
485 New Brunswick Ave
Perth Amboy NJ 08861-3675
Phone: (732) 442-5390
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | DI016839 | New Jersey |
Profile Details
| NPI number | 1265634737 |
|---|---|
| LBN Legal business name | Bucolo-Van Dyke, Diana |
| Credentials | DDS, MPH |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 5th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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