Dr DIANE DECAROLIS is a female medical professional, specializing in Nurse Practitioner. She graduated in 2013.
218 LORRAINE AVE
UPPER MONTCLAIR
NJ
070431915
Tel:
| Npi | 1285884890 |
| Pac Id | 7810299690 |
| Professional Enrollment Id | I20160111002410 |
| Last Name | DECAROLIS |
| First Name | DIANE |
| Middle Name | |
| Suffix | |
| Gender | F |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 2013 |
| Primary Specialty | NURSE PRACTITIONER |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | |
| Organization Legal Name | |
| Group Practice Pac Id | |
| Number Of Group Practice Members | |
| Line 1 Street Address | 218 LORRAINE AVE |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | UPPER MONTCLAIR |
| State | NJ |
| Zip Code | 070431915 |
| Phone Number | |
| Hospital Affiliation Ccn 1 | 310002 |
| Hospital Affiliation Lbn 1 | NEWARK BETH ISRAEL MEDICAL CENTER |
| Hospital Affiliation Ccn 2 | |
| Hospital Affiliation Lbn 2 | |
| Hospital Affiliation Ccn 3 | |
| Hospital Affiliation Lbn 3 | |
| Hospital Affiliation Ccn 4 | |
| Hospital Affiliation Lbn 4 | |
| Hospital Affiliation Ccn 5 | |
| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | M |
Leave your comments, questions and feedback on this listing below. You can also correct any listing errors or omissions.