MEDICARE: DR. MICHAEL J DUNN 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
1	207R00000X	Internal Medicine Physician	MA44571	NJ
2	208VP0000X	Pain Medicine Physician	MA44571	NJ

General Provider Information

NPI Number	:	1700856184
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHAEL J DUNN MD

Provider Business Mailing Address
First Line	:	1311 E SHORE DR
Second Line	:
City	:	BRIGANTINE
State	:	NJ
Zip	:	08203-3013
Country	:	US
Telephone Number	:	609-266-0400
Fax Number	:

Provider Business Practice Location Address
First Line	:	4248 HARBOR BEACH BLVD
Second Line	:
City	:	BRIGANTINE
State	:	NJ
Zip	:	08203-1361
Country	:	US
Telephone Number	:	609-266-0400
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/26/2006
Last Update Date	:	07/27/2012

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