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NPI Code Detail

MEDICARE: GREGORY E DEAN M.D.

MEDICARE:   GREGORY E DEAN  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208800000XUrology PhysicianMA06285100NJ
2208800000XUrology PhysicianMD056570LPA

General Provider Information

NPI Number : 1447226139
Entity Type Code : Individual
Provider Name (Legal Business Name) : GREGORY E DEAN M.D.
Provider Business Mailing Address
First Line : 200 BOWMAN DR
Second Line : SUITE E-360
City : VOORHEES
State : NJ
Zip : 08043-9623
Country : US
Telephone Number : 856-751-7880
Fax Number :
Provider Business Practice Location Address
First Line : 200 BOWMAN DR
Second Line : SUITE E-360
City : VOORHEES
State : NJ
Zip : 08043-9623
Country : US
Telephone Number : 856-751-7880
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/23/2006
Last Update Date : 03/24/2016

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Directions to “ GREGORY E DEAN M.D.” Practice Location

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