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NPI Code Detail

MEDICARE: DAVID DENNIS

MEDICARE:   DAVID  DENNIS
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
1225100000XPhysical Therapist40QA01325600NJ

General Provider Information

NPI Number : 1699063537
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAVID DENNIS
Provider Business Mailing Address
First Line : 155 DEWEY ST
Second Line :
City : GARFIELD
State : NJ
Zip : 07026-2338
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 155 DEWEY ST
Second Line :
City : GARFIELD
State : NJ
Zip : 07026-2338
Country : US
Telephone Number : 551-655-2892
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/12/2011
Last Update Date : 01/18/2013

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Directions to “ DAVID DENNIS ” Practice Location

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