Individual
DR. DOROTHY RENEE OURVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
360 ESSEX ST, HACKENSACK, NJ 07601-8550
(201) 336-8686
(201) 342-3546
Mailing address
740 IRON LATCH RD, FRANKLIN LAKES, NJ 07417-1413
(201) 677-0671
(201) 342-0267
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
46435
NJ
Other
Enumeration date
03/01/2006
Last updated
07/08/2007
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