Individual
TYLER JOHN DUGGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1117 ROUTE 46 STE 301, CLIFTON, NJ 07013-2450
(973) 270-9906
Mailing address
11 MILTON PL APT B, MORRISTOWN, NJ 07960-3791
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00483800
NJ
Other
Enumeration date
08/02/2018
Last updated
08/02/2018
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