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Individual

TERRY DEAN JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD, PHD

Contact information

Practice address
111 MICHIGAN AVE NW # M7746C, WASHINGTON, DC 20010-2916
(202) 476-4460
Mailing address
111 MICHIGAN AVE NW # M7746C, WASHINGTON, DC 20010-2916
(856) 776-3322

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MT201048
PA
2080P0203X
Pediatric Critical Care Medicine Physician
MD047426
DC

Other

Enumeration date
06/21/2012
Last updated
06/08/2021
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