Brook A Dejene MD

NPI 1013918416 - Thoracic Surgery (Cardiothoracic Vascular Surgery) - 208G00000X

NPI Details
NPI 1013918416
Gender Male
Enumeration Date 08/09/2005
Last Updated 11/16/2011
Entity Type Individual
Active Over 11 years ago
Practice Location
1944 ROUTE 33
MID-ATLANTIC SURGICAL ASSOCIATES - SUITE 201
NEPTUNE NJ, 07753-4862, US
Phone (732) 776-4622
Fax (732) 776-3765
Business Location
100 MADISON AVE
MID-ATLANTIC SURGICAL ASSOCIATES
MORRISTOWN NJ, 07960-6136, US
Phone (973) 971-7300
Fax (973) 984-7019
Toxanomy
Taxonomy Code 208G00000X
License State New Jersey
License Number 57722
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According to our database, Brook A Dejene MD NPI is 1013918416, taxonomy code is 208G00000X and license number is 57722, license state is located at New Jersey. Brook A Dejene MD physically located at 1944 Route 33, Neptune NJ, 07753-4862. NPI Number Brook A Dejene MD has the Individual type.

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1013918416 NPI number is provided on an as is basis without warranty of any kind. 1013918416 is maintained by the National Plan & Provider Enumeration System. The contents of Brook A Dejene MD are for informational purposes only.