Individual
DR. KEITH PALAC DUNGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1505 W SHERMAN AVE, VINELAND, NJ 08360-7059
(856) 641-8000
Mailing address
1505 W SHERMAN AVE, VINELAND, NJ 08360-7059
(856) 641-8000
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
A-2274-19
NM
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
04/20/2015
Last updated
12/10/2019
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