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NPI Code Detail

MEDICARE: DR. DAVID M PRINCE M.D.

MEDICARE:  DR. DAVID M PRINCE  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
1174400000XSpecialistMA06180NJ

General Provider Information

NPI Number : 1710982665
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DAVID M PRINCE M.D.
Provider Business Mailing Address
First Line : 700 PALISADE AVENUE
Second Line :
City : ENGLEWOOD CLIFFS
State : NJ
Zip : 07632
Country : US
Telephone Number : 201-568-3412
Fax Number :
Provider Business Practice Location Address
First Line : 700 PALISADE AVENUE
Second Line :
City : ENGLEWOOD CLIFFS
State : NJ
Zip : 07632
Country : US
Telephone Number : 201-568-3412
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/16/2005
Last Update Date : 07/08/2007

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Directions to “ DR. DAVID M PRINCE M.D.” Practice Location

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