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1467541755
DERRICK M DESILVA
EDISON, NJ
NPI
1467541755
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207R00000X Internal Medicine
(Licence: NJ MA51400)
Enumeration Date
2006-10-12
Last Update Date
2007-07-08
Business Address
DERRICK M DESILVA MD
629 AMBOY AVE
EDISON, NJ 08837-3579
Phone number: 732-738-8801
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Mailing Address
DERRICK M DESILVA MD
629 AMBOY AVE
EDISON, NJ 08837-3579
Phone number: 732-738-8801
Copy
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