Provider Demographics
NPI:1740450261
Name:ALDEA, DYANA LUZ (MD)
Entity type:Individual
Prefix:DR
First Name:DYANA
Middle Name:LUZ
Last Name:ALDEA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:86 WOODBURY RD
Mailing Address - Street 2:
Mailing Address - City:EDISON
Mailing Address - State:NJ
Mailing Address - Zip Code:08820-2959
Mailing Address - Country:US
Mailing Address - Phone:732-494-0054
Mailing Address - Fax:732-494-0054
Practice Address - Street 1:86 WOODBURY RD
Practice Address - Street 2:
Practice Address - City:EDISON
Practice Address - State:NJ
Practice Address - Zip Code:08820-2959
Practice Address - Country:US
Practice Address - Phone:732-494-0054
Practice Address - Fax:732-494-0054
Is Sole Proprietor?:No
Enumeration Date:2008-03-12
Last Update Date:2008-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA07804500208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation