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Individual

DR. GERALD PAUL DEVLIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
422 STUYVESANT AVENUE, LYNDHURST, NJ 07071-2326
(201) 935-4577
(201) 935-8893
Mailing address
422 STUYVESANT AVENUE, LYNDHURST, NJ 07071-2326
(201) 935-4577
(201) 935-8893

Taxonomy

Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
09218
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
047704QL8
PIN MEDICARE
Enumeration date
11/17/2006
Last updated
07/09/2007
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