# DKA MEDICAL LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124737093
- **Authorized official:** ANDRE AUGUSTIN NP (NP)
- **Authorized official phone:** (973) 641-0353

## Contact information

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

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP2300X | Primary Care Nurse Practitioner | — | NULL | Yes |
| 363LP2300X | Primary Care Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 11/21/2022
- **Last updated:** 12/06/2023