Derrick M. Desilva, Jr. MD
NPI #1083923585 in Edison, New Jersey
Provider Information
- NPI Number
- 1083923585
- Entity Type
- Organization
- Organization Name
- Derrick M. Desilva, Jr. MD
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- DERRICK M. DESILVA, JR. MD
- Primary Specialty
- Non-Pharmacy Dispensing Site
- Enumeration Date
- Sep 30, 2010
- Last Updated
- Mar 1, 2011
Practice Location
- Address
- 629 AMBOY AVE
- City
- Edison
- State
- New Jersey
- ZIP Code
- 08837-3579
- Phone
- (732) 738-8801
Authorized Official
- Name
- DERRICK M. DESILVA JR., M.D.
- Title
- MEDICAL DIRECTOR
- Phone
- (732) 738-8801
Specialties & Taxonomy Codes
| Specialty |
|---|
| Non-Pharmacy Dispensing Site |
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