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NPI Code Detail

MEDICARE: DENNIS COFFEY MD

MEDICARE: DENNIS COFFEY MD
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
1208000000XPediatrics Physician203179NY
22080P0203XPediatric Critical Care Medicine Physician25MA08022100NJ

General Provider Information

NPI Number : 1578534210
Entity Type Code : Individual
Provider Name (Legal Business Name) : DENNIS COFFEY MD
Provider Business Mailing Address
First Line : 223 N VAN DIEN AVE
Second Line :
City : RIDGEWOOD
State : NJ
Zip : 07450-2726
Country : US
Telephone Number : 201-447-8512
Fax Number :
Provider Business Practice Location Address
First Line : 223 N VAN DIEN AVE
Second Line :
City : RIDGEWOOD
State : NJ
Zip : 07450-2726
Country : US
Telephone Number : 201-447-8512
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/31/2006
Last Update Date : 09/11/2025

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