Organization
DENNIS COLLABORATIVE CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHILP DENNIS MD (PRESIDENT/REGISTERED AGENT)
(732) 255-2252
Entity
Organization
Contact information
Practice address
17 CASINO DR, FARMINGDALE, NJ 07727-3701
(732) 255-2252
(848) 444-8001
Mailing address
PO BOX 303, ALLENHURST, NJ 07711-0303
(732) 255-2252
(848) 444-8001
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
04/23/2017
Last updated
06/21/2017
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