MEDICARE: ERNEST CHARLES DUNN,JR., MD, PA

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
1	207Q00000X	Family Medicine Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1609806603
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ERNEST CHARLES DUNN,JR., MD, PA

Provider Business Mailing Address
First Line	:	1001 BRIGGS RD
Second Line	:	SUITE 210
City	:	MOUNT LAUREL
State	:	NJ
Zip	:	08054-4100
Country	:	US
Telephone Number	:	856-231-4774
Fax Number	:	856-231-9699

Provider Business Practice Location Address
First Line	:	1645 HAVEN AVE
Second Line	:
City	:	OCEAN CITY
State	:	NJ
Zip	:	08226-3066
Country	:	US
Telephone Number	:	609-399-6263
Fax Number	:	609-399-5163

Authorized Official
Title or Position	:	PRESIDENT
Name	:	ERNEST CHARLES DUNN JR.
Credential	:	M.D.
Telephone Number	:	609-399-6263

Provider Enumeration Date	:	07/04/2006
Last Update Date	:	06/23/2008

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