Doctor Name: | DR. DIANE MICHELE DITUSA |
NPI Number: | 1225283278 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | D.O., M.P.H. |
License Number: | 25MB09079500 |
Business Practice Address: | 2671 Highway 70 Wall Township Manasquan, NJ - 087362605 |
Business Phone Number: | 7325286999 |
Business Fax Number: | 7325283397 |
Mailing Address: | 2671 Highway 70, Wall Township MANASQUAN |
State: | NJ |
Postal Code: | 087362605 |
Phone Number: | 7325286999 |
Fax Number: | 7325283397 |
NPI Enumeration Date: | 11/18/2008 |
NPI Last Update Date: | 08/19/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207V00000X |
License Number: | 25MB09079500 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | |
Taxonomy Definition: | An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |