Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RH0000X | Hematologist | MD045060 | DC |
Y | 207RX0202X | Medical Oncology | MD045060 | DC |
NPI | 1154610467 |
---|---|
Provider Name | Dr. Kieron Dunleavy |
First Address | Hackensack, NJ 07601-2191 |
Second Address | Washington, DC 20007-2113 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/04/2011 |
Last Update Date | 26/01/2022 |