Organization
A.G.DIKENGIL MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASIM G DIKENGIL MD (MEDICAL DIRECTOR)
(201) 729-1234
Entity
Organization
Contact information
Practice address
736 PAGE AVE, LYNDHURST, NJ 07071-2541
(201) 729-1234
(201) 729-1233
Mailing address
736 PAGE AVE, LYNDHURST, NJ 07071-2541
(201) 729-1234
(201) 729-1233
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
25MA04423400
NJ
Other
Enumeration date
04/30/2009
Last updated
08/12/2009
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