Individual
MEIR DERSHOWITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
612 RUTHERFORD AVE, LYNDHURST, NJ 07071-1217
(201) 460-0063
(201) 460-1684
Mailing address
612 RUTHERFORD AVE, LYNDHURST, NJ 07071-1217
(201) 460-0063
(201) 460-1684
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00177300
NJ
363AM0700X
Medical Physician Assistant
011721
NY
Other
Enumeration date
12/17/2007
Last updated
04/16/2015
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