Individual
KATHLEEN MICHELLE DEWYKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
654 EAST JERSEY ST, RESIDENCY PROGRAM, ELIZABETH, NJ 07206
(908) 994-7233
Mailing address
654 EAST JERSEY ST, RESIDENCY PROGRAM, ELIZABETH, NJ 07206
(908) 994-7233
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
25MA10326200
NJ
Other
Enumeration date
04/23/2018
Last updated
04/23/2018
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