Doctor Name: | DR. ALAN DUNN |
NPI Number: | 1700975752 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 25MA03268700 |
Business Practice Address: | 3252 Route 35 N Lavallette, NJ - 087351531 |
Business Phone Number: | 7328309333 |
Business Fax Number: | |
Mailing Address: | 6 Roswell Ter, GLEN RIDGE |
State: | NJ |
Postal Code: | 070281610 |
Phone Number: | 9737835039 |
Fax Number: | |
NPI Enumeration Date: | 10/11/2006 |
NPI Last Update Date: | 10/14/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 25MA03268700 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |