Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 204F00000X | Transplant Surgeon | C10005966 | DE |
Y | 2086S0120X | Pediatric Surgery | C10005966 | DE |
NPI | 1356317366 |
---|---|
Provider Name | Stephen Dunn |
First Address | Rockland, DE 19732-0191 |
Second Address | Wilmington, DE 19803-3607 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/02/2006 |
Last Update Date | 14/12/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
001085174 | (05) | PA |
010233631 | (05) | VA |
3686507 | (05) | NJ |
6483810 | (05) | MD |
C30773 | (02) | |
Q05966 | (05) | SC |