# DSWLLC

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

## Provider details

- **NPI number:** 1326478819
- **Authorized official:** MR. DAVID SMALLWOOD WEAVER RNFA (PRESIDENT)
- **Authorized official phone:** (908) 668-1766

## Contact information

- **Practice address:** 725 OLD RARITAN RD, EDISON, NJ 08820-1021
- **Practice address phone:** (908) 668-1766
- **Mailing address:** 725 OLD RARITAN RD, EDISON, NJ 08820-1021
- **Mailing address phone:** (908) 668-1766

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WR0006X | Registered Nurse First Assistant | 26NR08930300 | NJ | Yes |

## Other

- **Enumeration date:** 11/19/2013
- **Last updated:** 11/19/2013