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Organization

DKA MEDICAL LLC

Active
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Organization

DKA MEDICAL LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ANDRE AUGUSTIN NP (NP)
(973) 641-0353
Entity
Organization

Contact information

Practice address
4 WALNUT TER, EAST HANOVER, NJ 07936-3063
(973) 641-0353
(973) 857-1240
Mailing address
4 WALNUT TER, EAST HANOVER, NJ 07936-3063
(973) 641-0353
(973) 857-1240

Taxonomy

Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
—
NULL
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—

Other

Enumeration date
11/21/2022
Last updated
12/06/2023
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