DERRICK M. DESILVA, JR. MD

EDISON, NJ
NPI1083923585
Entity TypeOrganization
Authorized ContactDERRICK M. DESILVA
Medical Director
732-738-8801
Organization Subpart ?Yes
Primary Taxonomy332900000X Non-Pharmacy Dispensing Site
Enumeration Date2010-09-30
Last Update Date2011-03-01
Business Address
DERRICK M. DESILVA, JR. MD
629 AMBOY AVE
EDISON, NJ 08837-3579
Phone number: 732-738-8801
Mailing Address
DERRICK M. DESILVA, JR. MD
2980 N BEVERLY GLEN CIR SUITE 301
LOS ANGELES, CA 90077-1726
Phone number: 310-474-9809
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