DERRICK M. DESILVA, JR. MD; NPI #1083923585

Contact Information

DERRICK M. DESILVA, JR. MD

629 AMBOY AVE
EDISON, NJ 08837-3579

Phone: 732-738-8801
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Non-Pharmacy Dispensing Site	332900000X	87	All Other Suppliers

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NPI Profile & details for DERRICK M. DESILVA, JR. MD

NPI #	`1083923585`
LBN Legal business name	DERRICK M. DESILVA, JR. MD
Authorized official	DERRICK DESILVA - (MEDICAL DIRECTOR)
Entity	Organization
Organization subpart ¹	Yes
Enumeration date	09/30/2010
Last updated	03/01/2011 - About 15 years ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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DERRICK M. DESILVA, JR. MD

Contact Information

Specialty

Non-Pharmacy Dispensing Site

NPI Profile & details for DERRICK M. DESILVA, JR. MD

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