Derrick Mcqueen M.D.

NPI 1003914748 - Pediatrics - 2080P0203X

NPI Details
NPI 1003914748
Gender Male
Enumeration Date 09/20/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
201 LYONS AVE
NEWARK NJ, 07112-2027, US
Phone (973) 926-3568
Fax (973) 926-6452
Business Location
201 LYONS AVE
NEWARK NJ, 07112, US
Phone (973) 926-3568
Fax (973) 926-6452
Toxanomy
Taxonomy Code 2080P0203X
License State New Jersey
License Number MA 62620
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According to our database, Dr. Derrick Mcqueen M.D. NPI is 1003914748, taxonomy code is 2080P0203X and license number is MA 62620, license state is located at New Jersey. Derrick Mcqueen M.D. physically located at 201 Lyons Ave, Newark NJ, 07112-2027. NPI Number Derrick Mcqueen M.D. has the Individual type.

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1003914748 NPI number is provided on an as is basis without warranty of any kind. 1003914748 is maintained by the National Plan & Provider Enumeration System. The contents of Derrick Mcqueen M.D. are for informational purposes only.