| Doctor Name: | DIANA NEAL JUELG |
| NPI Number: | 1336344548 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APN |
| License Number: | 26NJ00098200 |
| Business Practice Address: | 22 E. Evergreen Avenue Somerdale, NJ - 08083 |
| Business Phone Number: | 8563095429 |
| Business Fax Number: | |
| Mailing Address: | 7605 Normandy Dr, MOUNT LAUREL |
| State: | NJ |
| Postal Code: | 080545984 |
| Phone Number: | 6097603885 |
| Fax Number: | 8563095435 |
| NPI Enumeration Date: | 06/18/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0200X |
| License Number: | 26NJ00098200 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |