Individual
DERRICK M DESILVA JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
629 AMBOY AVE, EDISON, NJ 08837-3579
(732) 738-8801
(732) 738-8802
Mailing address
629 AMBOY AVE, EDISON, NJ 08837-3579
(732) 738-8801
(732) 738-8802
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MA51400
NJ
Other
Enumeration date
10/12/2006
Last updated
07/08/2007
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