Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Q00000X | Family Doctor | 25MA06971300 | NJ |
NPI | 1003840430 |
---|---|
Provider Name | Dr. Ernest Charles Dunn JR. |
First Address | Cape May Court House, NJ 08210-2138 |
Second Address | Cape May Court House, NJ 08210-2138 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/07/2006 |
Last Update Date | 29/09/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
8537801 | (05) | NJ |
H28035 | (02) |