Medical Diagnostic Associates, PA
NPI #1508128224 in Summit, New Jersey
Provider Information
- NPI Number
- 1508128224
- Entity Type
- Organization
- Organization Name
- Medical Diagnostic Associates, PA
- Primary Specialty
- Non-Pharmacy Dispensing Site
- Enumeration Date
- Jun 8, 2012
- Last Updated
- Jun 12, 2012
Practice Location
- Address
- 99 BEAUVOIR AVE
- City
- Summit
- State
- New Jersey
- ZIP Code
- 07901-3533
- Phone
- (908) 608-1504
Authorized Official
- Name
- TERRY DYER, CMPE
- Title
- PRACTICE ADMINISTRATOR
- Phone
- (732) 382-0091
Specialties & Taxonomy Codes
| Specialty |
|---|
| Non-Pharmacy Dispensing Site |
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