Provider Demographics
NPI:1780882225
Name:MARCHESANI, DIANE (DO)
Entity type:Individual
Prefix:DR
First Name:DIANE
Middle Name:
Last Name:MARCHESANI
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:19 DAVIS AVE FL 6
Mailing Address - Street 2:
Mailing Address - City:NEPTUNE
Mailing Address - State:NJ
Mailing Address - Zip Code:07753-4488
Mailing Address - Country:US
Mailing Address - Phone:732-897-3995
Mailing Address - Fax:732-897-3974
Practice Address - Street 1:19 DAVIS AVE FL 6
Practice Address - Street 2:
Practice Address - City:NEPTUNE
Practice Address - State:NJ
Practice Address - Zip Code:07753-4488
Practice Address - Country:US
Practice Address - Phone:732-897-3995
Practice Address - Fax:732-897-3974
Is Sole Proprietor?:No
Enumeration Date:2007-07-05
Last Update Date:2022-09-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MO2009032716207RI0200X
NY259891-1207RI0200X
NJ25MB0828770207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease