Derrick M Desilva Jr. M.d. LLC

NPI #1295192706 in Edison, New Jersey

Provider Information

NPI Number: 1295192706
Entity Type: Organization
Organization Name: Derrick M Desilva Jr. M.d. LLC
Primary Specialty: Internal Medicine
Enumeration Date: Jan 28, 2016
Last Updated: Jan 28, 2016

Practice Location

Address: 629 AMBOY AVE
Address 2: 2ND FLOOR
City: Edison
State: New Jersey
ZIP Code: 08837-3579
Phone: (732) 738-8801

Authorized Official

Name: DERRICK M DESILVA JR., MD
Title: OWNER
Phone: (732) 738-8801

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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