Diana Bucolo-Van Dyke, DDS, MPH

NPI 1265634737 · on the registry since 2007 · sole proprietor

Practice

Address: 485 New Brunswick Ave
Perth Amboy, NJ 08861
Phone: (732) 442-5390
Organisation at this address: Raritan Ob Gyn Associates
Specialized Foot And Ankle Care Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 6

Registry record

Primary taxonomy: 122300000X
122300000X
Licence states on file: NJ
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Jersey