Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | 33038 | MA |
NPI | 1124229778 |
---|---|
Provider Name | Dr. Edward J. Dunn |
First Address | West Dennis, MA 02670-2307 |
Second Address | West Dennis, MA 02670-2307 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/05/2007 |
Last Update Date | 08/07/2007 |